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Linfoma de Hodgkin con compromiso hepático tratado con esquema gemcitabina, dexametasona y cisplatino como puente para terapia estándar: Caso clínico / Hodgkin lymphoma with hepatic involvement treated with dexametasone, gemcitabine and cisplatin as a bridge to standard therapy: Report of one case
Orellana, Matías; Buttinghausen, Valeria; Aspillaga M, Augusto; Chandía C, Mauricio.
  • Orellana, Matías; Universidad Católica del Maule. Facultad de Medicina. Talca. CL
  • Buttinghausen, Valeria; Universidad Católica del Maule. Facultad de Medicina. Talca. CL
  • Aspillaga M, Augusto; Hospital Regional de Talca. Servicio de Hematología. Talca. CL
  • Chandía C, Mauricio; Hospital Regional de Talca. Servicio de Hematología. Talca. CL
Rev. méd. Chile ; 140(7): 902-905, jul. 2012. ilus
Article in Spanish | LILACS | ID: lil-656362
ABSTRACT

Background:

The initial presentation of Hodgkin lymphoma with liver involvement is rare. In these patients, the standard first-line therapy with ABVD (Adriamycin, Bleomycine, Vinblastine, Dacarbazine) imply an additional risk for liver toxicity. We report a 64-year-old woman who presented with jaundice, choluria, malaise and weight loss. In the initial evaluation she had jaundice and palpable groin lymph nodes. An obstructive biliary disease was ruled out with magnetic resonance imaging studies. A lymph node biopsy showed a Hodgkins lymphoma, Mixed-cellularity subtype. Considering the liver dysfunction, an alternative scheme of chemotherapy with dexamethasone, gemcitabine and cisplatin (GDP) was administered. After 4 cycles, a significant improvement in liver hepatic function tests was reached and a conventional chemotherapy (ABVD) was begun. While the literature provides some low toxicity protocols for patients with liver involvement, favorable results of our clinical case report allows us to postulate GDP as an alternative for salvage therapy in these patients.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Hodgkin Disease / Antineoplastic Combined Chemotherapy Protocols / Liver Diseases Type of study: Practice guideline Limits: Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2012 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital Regional de Talca/CL / Universidad Católica del Maule/CL

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Full text: Available Index: LILACS (Americas) Main subject: Hodgkin Disease / Antineoplastic Combined Chemotherapy Protocols / Liver Diseases Type of study: Practice guideline Limits: Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2012 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital Regional de Talca/CL / Universidad Católica del Maule/CL