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KMID : 0383820100690020115
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Tuberculosis and Respiratory Diseases
2010 Volume.69 No. 2 p.115 ~ p.118
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A Case of Ischemic Colitis Associated with Paclitaxel Loaded Polymeric Micelle (Genexol-PM®) Chemotherapy
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Park Cheol-Kyu
Oh In-Jae
Kim Kyu-Sik
Kim Yu-Il
Lim Sung-Chul
Kim Young-Chul
Choi Yoo-Duk
Kwon Yong-Soo
Kim Eun-Young
Ban Hee-Jung
Yoon Byeong-Kab
Ki ho-seok
Kang Hyun-Wook
Kim Tae-Ok
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Abstract
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Paclitaxel has been widely used for treating many solid tumors. Although colonic toxicity is an unusual complication of paclitaxel-based chemotherapy, the reported toxicities include pseudomembranous colitis, neutropenic enterocolitis and on rare occasions ischemic colitis. Genexol-PM®, which is a recently developed cremophor-free, polymeric micelle-formulated paclitaxel, has shown a more potent antitumor effect because it can increase the usual dose of paclitaxel due to that Genexol-PM® does not include the toxic cremophor compound. We report here on a case of a 57-year-old man with advanced non-small cell lung cancer and who developed ischemic colitis after chemotherapy with Genexol-PM® and cisplatin. He complained of hematochezia with abdominal pain on the left lower quadrant. Colonoscopy revealed diffuse mucosal hemorrhage and edema from the sigmoid colon to the splenic flexure. After bowel rest, he recovered from his symptoms and the follow-up colonoscopic findings showed that the mucosa was healing. Since then, he was treated with pemetrexed monotherapy instead of a paclitaxel compound and platinum.
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KEYWORD
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Paclitaxel, Genexol-PM, Colitis, Ischemic
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