Fulminant hepatitis in a patient with hepatocellular carcinoma related to nonalcoholic steatohepatitis treated with sorafenib

Tumori · 2015 · vol. 8(3) , pp. 106–110 · doi:10.5301/je.5000247 · PMID:25702656 · W1990993131
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This study found that the HOXA10 gene in eutopic endometrium exhibits higher methylation levels in endometriosis patients experiencing infertility compared to fertile controls.

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Abstract

We describe a case of acute liver failure in a patient with advanced hepatocellular carcinoma related to nonalcoholic steatohepatitis during sorafenib treatment. A 74-year-old man with diabetes mellitus and hypertension was diagnosed with hepatocellular carcinoma associated with fatty liver. Three weeks after sorafenib therapy, at Eastern Cooperative Oncology Group performance status 3, he developed jaundice, general weakness, flapping tremor, nausea, and anorexia. Sorafenib was stopped: laboratory tests showed a relevant elevation of transaminases suggesting diagnosis of acute hepatitis. During hospital admission, the patient died of liver failure. Sorafenib is the first successful target therapy effective for advanced hepatocellular carcinoma. The most common adverse events are fatigue, hand-foot skin reaction, skin rash/desquamation, diarrhea, and hypertension, whereas liver dysfunction is uncommon. To our knowledge, this is the first patient reported in the literature with hepatocellular carcinoma related to nonalcoholic steatohepatitis who died of rapid worsening of liver function during sorafenib treatment.

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Condition tags

endometriosisinfertility

MeSH descriptors

Antineoplastic Agents Carcinoma, Hepatocellular Liver Failure, Acute Liver Neoplasms Niacinamide Non-alcoholic Fatty Liver Disease Phenylurea Compounds Protein Kinase Inhibitors Aged Antineoplastic Agents Antineoplastic Agents Carcinoma, Hepatocellular Carcinoma, Hepatocellular Carcinoma, Hepatocellular Carcinoma, Hepatocellular Fatal Outcome Humans Jaundice Jaundice Liver Failure, Acute

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SciLite annotations

chemicals 5
sorafenib sorafenib sorafenib sorafenib sorafenib

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