Scientific article
Review
French

Lésions hépatiques induites par la chimiothérapie systémique pour cancer d'origine digestive

Other titleHepatic lesions induced by systemic chemotherapy for digestive cancer
Published inAnnales de pathologie, vol. 30, no. 6, p. 421-425
Publication date2010
Abstract

The anticancerous chemotherapies are often responsible for toxic injury of the nontumoral liver. Two types of histological lesions were recently reported during the treatment of digestive cancers: the sinusoidal obstruction syndrome (SOS); or veno-occlusive disease associated with the use of oxaliplatine, and steatohepatitis associated with the use of irinotecan. The SOS is a cause of increased postoperative morbidity, particularly during major hepatectomy or when more than six cycles of chemotherapy are administered. Steatohepatitis increases the postoperative morbidity and mortality. The new targeted molecules do not seem to modify the postoperative course. Hepatic injury and postoperative complications associated with chemotherapies used in the treatment of digestive cancers are summarized in this review.

Keywords
  • Antineoplastic Agents/*adverse effects/therapeutic use
  • Combined Modality Therapy
  • Digestive System Neoplasms/complications/*drug therapy
  • Drug-Induced Liver Injury/*etiology/pathology
  • Fatty Liver/chemically induced/pathology
  • Hepatectomy
  • Humans
  • Jaundice, Obstructive/chemically induced/pathology
  • Liver Neoplasms/drug therapy/secondary/surgery
Citation (ISO format)
RUBBIA-BRANDT, Laura. Lésions hépatiques induites par la chimiothérapie systémique pour cancer d’origine digestive. In: Annales de pathologie, 2010, vol. 30, n° 6, p. 421–425. doi: 10.1016/j.annpat.2010.09.008
Identifiers
Journal ISSN0242-6498
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