Sinusoidal obstruction syndrome/veno-occlusive disease complication in lymphoma patients treated with oxaliplatin-based regimen: A case series report

Curr Res Transl Med. 2018 Nov;66(4):107-110. doi: 10.1016/j.retram.2018.01.004. Epub 2018 Mar 5.

Abstract

Aim: SOS/VOD is a relevant clinical syndrome that usually appears early after hematopoietic stem cell transplantation. The purpose of this article was to report a case series of SOS/VOD in non-susceptible patients and draw physicians' attention to the plausible relationship between liver injury and oxaliplatin-based chemotherapy, preceding autologous transplantation.

Methods: In this study, we report a case series of SOS/VOD in 4 lymphoma patients following autologous transplantation. The data were collected between July 2013 and November 2015 by analyzing patient's characteristics and outcomes.

Results: We noticed 4 severe cases of SOS with unusual presentations in patients who did exhibit few classical risk factors. These patients received R-DHAO before transplantation.

Conclusions: Physicians need to be aware that oxaliplatin-based regimen could contribute to SOS/VOD complications in hematological patients.

Keywords: Autologous transplantation; Oxaliplatin-based regimen; SOS/VOD complication.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Combined Modality Therapy
  • Female
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Hepatic Veno-Occlusive Disease / diagnosis
  • Hepatic Veno-Occlusive Disease / etiology*
  • Humans
  • Lymphoma / complications
  • Lymphoma / drug therapy
  • Lymphoma / therapy*
  • Male
  • Middle Aged
  • Oxaliplatin / administration & dosage*
  • Oxaliplatin / adverse effects
  • Transplantation, Autologous

Substances

  • Oxaliplatin