Ischemic Colitis Associated with Paclitaxel and Carboplatin Combination

Autor: Teresa Limjoco, Toni Pacioles, Maria Tria Tirona, Ahmed Gamal Elsayed, Roma Srivastava
Rok vydání: 2017
Předmět:
Zdroj: Case Reports in Oncology
Case Reports in Oncology, Vol 10, Iss 2, Pp 689-693 (2017)
ISSN: 1662-6575
DOI: 10.1159/000479226
Popis: A 62-year-old white female with a history of early-stage triple-negative breast cancer on a combination of carboplatin and paclitaxel in the adjuvant setting presented with lower gastrointestinal bleeding. She tolerated 4 cycles of dose-dense adriamycin/cyclophosphamide with no major symptoms. After 6 cycles of weekly paclitaxel in combination with carboplatin every 3 weeks, she presented with diarrhea and lower gastrointestinal bleeding. Colonosopic examination showed erythema and inflammation in the splenic flexure, descending colon, and sigmoid colon consistent with ischemic colitis. Pathology favored the same diagnosis. She was treated conservatively with intravenous fluids and bowel rest. Chemotherapy was held for 2 weeks and resumed after recovery without carboplatin. She was able to tolerate the remaining 6 cycles of paclitaxel with no recurrence of her symptoms.
Databáze: OpenAIRE