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Erschienen in: Current Oncology Reports 4/2012

01.08.2012 | Palliative Medicine (A Jatoi, Section Editor)

The Double Edged Sword of Bleeding and Clotting from VEGF Inhibition in Renal Cancer Patients

verfasst von: Guru Sonpavde, Joaquim Bellmunt, Fabio Schutz, Toni K. Choueiri

Erschienen in: Current Oncology Reports | Ausgabe 4/2012

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Abstract

Vascular endothelial growth factor (VEGF) inhibitors have significantly improved outcomes in patients with advanced renal cell carcinoma (RCC). Multiple VEGF inhibiting orally administered tyrosine kinase inhibitors (TKIs) have been approved including sunitinib, sorafenib, pazopanib and most recently, axitinib. One VEGF inhibiting monoclonal antibody, bevacizumab, is approved in combination with interferon. However, these agents, besides the known progression-free survival benefits, are associated with a small but real risk of potentially life threatening and contrasting toxicities of thrombosis (both venous and arterial) and bleeding. Appropriate patient selection for VEGF inhibitors and prevention as well as prompt intervention to manage thrombosis and bleeding are necessary to forestall serious morbidities and mortality.
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Metadaten
Titel
The Double Edged Sword of Bleeding and Clotting from VEGF Inhibition in Renal Cancer Patients
verfasst von
Guru Sonpavde
Joaquim Bellmunt
Fabio Schutz
Toni K. Choueiri
Publikationsdatum
01.08.2012
Verlag
Current Science Inc.
Erschienen in
Current Oncology Reports / Ausgabe 4/2012
Print ISSN: 1523-3790
Elektronische ISSN: 1534-6269
DOI
https://doi.org/10.1007/s11912-012-0237-9

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