Advanced Stage Hepatocellular Carcinoma with Multiple Metastasis and Vascular Thrombosis: A Case of Complete Response to Sorafenib
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799 |
Resumo: | Sorafenib is a multi-targeted tyrosine kinase inhibitor, with antiangiogenic and antiproliferative properties, approved for the treatment of advanced hepatocellular carcinoma. It induces a significant increase in the median overall survival, despite a complete response to treatment being rare. We report a clinical case of a 60-year-old male with hepatic cirrhosis, Child-Pugh class A and performance status 0, and advanced hepatocellular carcinoma. The primary tumor measured 17 x 8 cm and had diffuse intrahepatic metastization, extensive lung and left adrenal invasion, as well as thrombosis of inferior vena cava, with projection to the right atrium. This patient showed a rapid and complete response to sorafenib, evaluated by mRECIST (modified Response Evaluation Criteria in Solid Tumors), that remains after three years of treatment. |
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Advanced Stage Hepatocellular Carcinoma with Multiple Metastasis and Vascular Thrombosis: A Case of Complete Response to SorafenibCarcinoma Hepatocelular em Estádio Avançado com Metastização Múltipla e Trombose Vascular: Um Caso de Resposta Completa ao SorafenibCarcinomaHepatocellular/drug therapyNeoplasm MetastasisRemission InductionSorafenib.Carcinoma Hepatocelular/quimioterapiaIndução de RemissãoMetástase NeoplásicaSorafenib.Sorafenib is a multi-targeted tyrosine kinase inhibitor, with antiangiogenic and antiproliferative properties, approved for the treatment of advanced hepatocellular carcinoma. It induces a significant increase in the median overall survival, despite a complete response to treatment being rare. We report a clinical case of a 60-year-old male with hepatic cirrhosis, Child-Pugh class A and performance status 0, and advanced hepatocellular carcinoma. The primary tumor measured 17 x 8 cm and had diffuse intrahepatic metastization, extensive lung and left adrenal invasion, as well as thrombosis of inferior vena cava, with projection to the right atrium. This patient showed a rapid and complete response to sorafenib, evaluated by mRECIST (modified Response Evaluation Criteria in Solid Tumors), that remains after three years of treatment.O sorafenib, um inibidor de múltiplas cinases com propriedades antiangiogénicas e antiproliferativas foi aprovado para o tratamento de carcinoma hepatocelular em estádio avançado por induzir um prolongamento da sobrevivência global estatisticamente significativo, sendo a resposta completa rara. Relata-se o caso clínico de um homem de 60 anos com cirrose hepática classe A de Child-Pugh e performance status 0 e carcinoma hepatocelular em estádio avançado (com tumor primitivo medindo 17 X 8 cm, metastização intra-hepática difusa, pulmonar maciça e da suprarrenal esquerda e ainda trombose da veia cava inferior com extensão e projeção na câmara da aurícula direita), que apresentou resposta completa com sorafenib, avaliada pelos critérios mRECIST (modified Response Evaluation Criteria in Solid Tumors). Esta resposta mantem-se após três anos de tratamento.Ordem dos Médicos2016-02-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/mswordimage/tiffimage/tiffimage/tiffimage/tiffimage/tiffimage/tiffimage/tiffimage/tiffimage/tiffimage/x-ms-bmpimage/tiffimage/tiffapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799oai:ojs.www.actamedicaportuguesa.com:article/6799Acta Médica Portuguesa; Vol. 29 No. 2 (2016): February; 139-142Acta Médica Portuguesa; Vol. 29 N.º 2 (2016): Fevereiro; 139-1421646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/4607https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7969https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7970https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7971https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7972https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7973https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7974https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7975https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7976https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7977https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7978https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7979https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7980https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7981https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/8073Direitos de Autor (c) 2016 Copyright © Ordem dos Médicos 2016info:eu-repo/semantics/openAccessSimão, AdéliaSilva, RaquelCorreia, LurdesAlves, Filipe CaseiroCarvalho, ArmandoCosta, J. M. Nascimento2022-12-20T11:04:59Zoai:ojs.www.actamedicaportuguesa.com:article/6799Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:22.029973Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Advanced Stage Hepatocellular Carcinoma with Multiple Metastasis and Vascular Thrombosis: A Case of Complete Response to Sorafenib Carcinoma Hepatocelular em Estádio Avançado com Metastização Múltipla e Trombose Vascular: Um Caso de Resposta Completa ao Sorafenib |
title |
Advanced Stage Hepatocellular Carcinoma with Multiple Metastasis and Vascular Thrombosis: A Case of Complete Response to Sorafenib |
spellingShingle |
Advanced Stage Hepatocellular Carcinoma with Multiple Metastasis and Vascular Thrombosis: A Case of Complete Response to Sorafenib Simão, Adélia Carcinoma Hepatocellular/drug therapy Neoplasm Metastasis Remission Induction Sorafenib. Carcinoma Hepatocelular/quimioterapia Indução de Remissão Metástase Neoplásica Sorafenib. |
title_short |
Advanced Stage Hepatocellular Carcinoma with Multiple Metastasis and Vascular Thrombosis: A Case of Complete Response to Sorafenib |
title_full |
Advanced Stage Hepatocellular Carcinoma with Multiple Metastasis and Vascular Thrombosis: A Case of Complete Response to Sorafenib |
title_fullStr |
Advanced Stage Hepatocellular Carcinoma with Multiple Metastasis and Vascular Thrombosis: A Case of Complete Response to Sorafenib |
title_full_unstemmed |
Advanced Stage Hepatocellular Carcinoma with Multiple Metastasis and Vascular Thrombosis: A Case of Complete Response to Sorafenib |
title_sort |
Advanced Stage Hepatocellular Carcinoma with Multiple Metastasis and Vascular Thrombosis: A Case of Complete Response to Sorafenib |
author |
Simão, Adélia |
author_facet |
Simão, Adélia Silva, Raquel Correia, Lurdes Alves, Filipe Caseiro Carvalho, Armando Costa, J. M. Nascimento |
author_role |
author |
author2 |
Silva, Raquel Correia, Lurdes Alves, Filipe Caseiro Carvalho, Armando Costa, J. M. Nascimento |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Simão, Adélia Silva, Raquel Correia, Lurdes Alves, Filipe Caseiro Carvalho, Armando Costa, J. M. Nascimento |
dc.subject.por.fl_str_mv |
Carcinoma Hepatocellular/drug therapy Neoplasm Metastasis Remission Induction Sorafenib. Carcinoma Hepatocelular/quimioterapia Indução de Remissão Metástase Neoplásica Sorafenib. |
topic |
Carcinoma Hepatocellular/drug therapy Neoplasm Metastasis Remission Induction Sorafenib. Carcinoma Hepatocelular/quimioterapia Indução de Remissão Metástase Neoplásica Sorafenib. |
description |
Sorafenib is a multi-targeted tyrosine kinase inhibitor, with antiangiogenic and antiproliferative properties, approved for the treatment of advanced hepatocellular carcinoma. It induces a significant increase in the median overall survival, despite a complete response to treatment being rare. We report a clinical case of a 60-year-old male with hepatic cirrhosis, Child-Pugh class A and performance status 0, and advanced hepatocellular carcinoma. The primary tumor measured 17 x 8 cm and had diffuse intrahepatic metastization, extensive lung and left adrenal invasion, as well as thrombosis of inferior vena cava, with projection to the right atrium. This patient showed a rapid and complete response to sorafenib, evaluated by mRECIST (modified Response Evaluation Criteria in Solid Tumors), that remains after three years of treatment. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-02-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799 oai:ojs.www.actamedicaportuguesa.com:article/6799 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/6799 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/4607 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7969 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7970 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7971 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7972 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7973 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7974 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7975 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7976 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7977 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7978 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7979 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7980 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/7981 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6799/8073 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2016 Copyright © Ordem dos Médicos 2016 info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2016 Copyright © Ordem dos Médicos 2016 |
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openAccess |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 29 No. 2 (2016): February; 139-142 Acta Médica Portuguesa; Vol. 29 N.º 2 (2016): Fevereiro; 139-142 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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