Severe skin reaction secondary to concomitant radiotherapy plus cetuximab

被引:26
作者
Berger, Bernhard [1 ]
Belka, Claus [1 ]
机构
[1] Univ Tubingen, Dept Radiat Oncol, D-72076 Tubingen, Germany
关键词
D O I
10.1186/1748-717X-3-5
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The therapeutic use of monoclonal antibodies against the epidermal growth factor receptor ( EGFR) is specifically associated with dermatologic reactions of variable severity. Recent evidence suggests superiority of the EGFR inhibitor (EGFRI) cetuximab plus radiotherapy compared to radiotherapy alone in patients with squamous cell carcinoma of the head and neck. Although not documented in a study population, several reports indicate a possible overlap between radiation dermatitis and the EGFRI-induced skin rash. We here present a case of severe skin reaction secondary to the addition of cetuximab to radiotherapy.
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页数:4
相关论文
共 16 条
[1]   Pharmacodynamic studies of the epidermal growth factor receptor inhibitor ZD1839 in skin from cancer patients: Histopathologic and molecular consequences of receptor inhibition [J].
Albanell, J ;
Rojo, F ;
Averbuch, S ;
Feyereislova, A ;
Mascaro, JM ;
Herbst, R ;
LoRusso, P ;
Rischin, D ;
Sauleda, S ;
Gee, J ;
Nicholson, RI ;
Baselga, J .
JOURNAL OF CLINICAL ONCOLOGY, 2002, 20 (01) :110-124
[2]   Consensus guidelines for the management of radiation dermatitis and coexisting acne-like rash in patients receiving radiotherapy plus EGFR inhibitors for the treatment of squamous cell carcinoma of the head and neck [J].
Bernier, J. ;
Bonner, J. ;
Vermorken, J. B. ;
Bensadoun, R-J. ;
Dummer, R. ;
Giralt, J. ;
Kornek, G. ;
Hartley, A. ;
Mesia, R. ;
Robert, C. ;
Segaert, S. ;
Ang, K. K. .
ANNALS OF ONCOLOGY, 2008, 19 (01) :142-149
[3]   Radiotherapy plus cetuximab for squamous-cell carcinoma of the head and neck [J].
Bonner, JA ;
Harari, PM ;
Giralt, J ;
Azarnia, N ;
Shin, DM ;
Cohen, RB ;
Jones, CU ;
Sur, R ;
Raben, D ;
Jassem, J ;
Ove, R ;
Kies, MS ;
Baselga, J ;
Youssoufian, H ;
Amellal, N ;
Rowinsky, EK ;
Ang, KK .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 354 (06) :567-578
[4]  
Bonner JA, 2007, NEW ENGL J MED, V357, P1872, DOI 10.1056/NEJMc076359
[5]   Hyperfractionated accelerated chemoradiation with concurrent fluorouracil-mitomycin is more effective than dose-escalated hyperfractionated accelerated radiation therapy alone in locally advanced head and neck cancer: Final results of the radiotherapy cooperative clinical trials group of the German cancer society 95-06 prospective randomized trial [J].
Budach, V ;
Stuschke, M ;
Budach, W ;
Baumann, M ;
Geismar, D ;
Grabenbauer, G ;
Lammert, I ;
Jahnke, K ;
Stueben, G ;
Herrmann, T ;
Bamberg, M ;
Wust, P ;
Hinkelbein, W ;
Wernecke, KD .
JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (06) :1125-1135
[6]   Severe cutaneous reaction during radiation therapy with concurrent cetuximab [J].
Budach, Wilfried ;
Boelke, Edwin ;
Homey, Bernhard .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (05) :514-515
[7]   Cetuximab monotherapy and cetuximab plus irinotecan in irinotecan-refractory metastatic colorectal cancer [J].
Cunningham, D ;
Humblet, Y ;
Siena, S ;
Khayat, D ;
Bleiberg, H ;
Santoro, A ;
Bets, D ;
Mueser, M ;
Harstrick, A ;
Verslype, C ;
Chau, I ;
Van Cutsem, E .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (04) :337-345
[8]   Acneiform eruption induced by epidermal growth factor receptor inhibitors in patients with solid tumours [J].
Jacot, W ;
Bessis, D ;
Jorda, E ;
Ychou, M ;
Fabbro, M ;
Pujol, JL ;
Guillot, B .
BRITISH JOURNAL OF DERMATOLOGY, 2004, 151 (01) :238-241
[9]   Mechanisms of cutaneous toxicities to EGFR inhibitors [J].
Lacouture, Mario E. .
NATURE REVIEWS CANCER, 2006, 6 (10) :803-812
[10]   Temporal dependence of the effect of radiation on erlotinib-induced skin rash [J].
Lacouture, Mario E. ;
Hwang, Catherine ;
Marymont, MaryAnne H. ;
Patel, Iyoti .
JOURNAL OF CLINICAL ONCOLOGY, 2007, 25 (15) :2140-2141