Localized hand-foot syndrome after intra-arterial hepatic chemotherapy with floxuridine: a clinical case.
Hand-foot syndrome is a toxic effect of some chemotherapy agents such as 5-fluorouracil (5-FU), capecitabine and liposomal doxorubicin. The symptoms and signs are localized erythema and paresthesia. Floxuridine (FUDR) is an analogue of 5-FU, used for arterial hepatic infusion in patients affected by liver metastases from colorectal cancer. A patient who was treated for colorectal cancer with liver metastases underwent locoregional chemotherapy with FUDR and systemic chemotherapy with FOLFOX4. After three cycles he developed severe painful dermatitis of the right leg. Abdominal X-ray showed displacement of the catheter to the right common iliac artery. Treatment was discontinued and the patient had a rapid recovery.
Bareggi
Claudia
C
Medical Oncology Department, Igea Hospital, Milan, Italy. regina.claudia@libero.it
Paleari
Daniela
D
Garassino
Marina Chiara
MC
Mora
Monica
M
Salamina
Silvia
S
Senecione
Monica
M
Ghidini
Antonio
A
Pancera
Gianfranco
G
D000328:Adult; D002404:Catheterization; D003110:Colonic Neoplasms / Q000188:drug therapy / Q000473:pathology; D003872:Dermatitis / Q000209:etiology* / Q000473:pathology*; D005467:Floxuridine / Q000008:administration & dosage / Q000009:adverse effects* / Q000031:analogs & derivatives / Q000627:therapeutic use*; D005528:Foot / Q000473:pathology*; D006225:Hand / Q000473:pathology*; D006801:Humans; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary; D008297:Male; D013577:Syndrome; D014962:X-Ray Film
D005467:Floxuridine