Management of treatment-associated toxicites of anti-angiogenic therapy in patients with brain tumors

被引:56
作者
Armstrong, Terri S. [1 ,2 ]
Wen, Patrick Y. [3 ,4 ]
Gilbert, Mark R. [2 ]
Schiff, David [5 ,6 ,7 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Dept Integrat Nursing Care, UTHSC SON, Houston, TX 77030 USA
[2] Univ Texas MD Anderson Canc Ctr, Dept Neurooncol, Houston, TX 77030 USA
[3] Brigham & Womens Hosp, Dana Farber Canc Inst, Ctr Neurooncol, Boston, MA 02115 USA
[4] Brigham & Womens Hosp, Div Neurooncol, Dept Neurol, Boston, MA 02115 USA
[5] Univ Virginia, Dept Neurol, Charlottesville, VA USA
[6] Univ Virginia, Dept Neurol Surg, Charlottesville, VA USA
[7] Univ Virginia, Dept Med Hematol Oncol, Charlottesville, VA USA
关键词
brain tumors; chemotherapy; toxicity; PHASE-II TRIAL; ENDOTHELIAL GROWTH-FACTOR; POSTERIOR LEUKOENCEPHALOPATHY SYNDROME; PATIENTS RECEIVING BEVACIZUMAB; SINGLE-AGENT BEVACIZUMAB; VENOUS THROMBOEMBOLISM; CANCER-PATIENTS; GLIOBLASTOMA-MULTIFORME; ANAPLASTIC ASTROCYTOMA; RADIATION-THERAPY;
D O I
10.1093/neuonc/nor223
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Anti-angiogenic therapies, including bevacizumab, are being used with increasing frequency in the management of malignant glioma. Common clinically significant toxicities include hypertension and proteinuria, poor wound healing, and the potential for thromboembolic events. Literature related to the use of bevacizumab in malignant glioma, reported toxicities in this patient population, and management of these toxicities was reviewed. Recommendations for assessment and management are provided. Anti-angiogenic therapies will continue to have a role in the treatment of malignant glioma. Further studies of the prevention, assessment, and management of these toxicities are warranted.
引用
收藏
页码:1203 / 1214
页数:12
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