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Mol Clin Oncol. 2017 Mar;6(3):389-396. doi: 10.3892/mco.2017.1132. Epub 2017 Jan 16.

Sudden cardiac death in a patient with advanced hepatocellular carcinoma with good response to sorafenib treatment: A case report with literature analysis.

Molecular and clinical oncology

Linda Calistri, Cesare Cordopatri, Cosimo Nardi, Elena Gianni, Fabio Marra, Stefano Colagrande

Affiliations

  1. Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Azienda Ospedaliero-Universitaria Careggi, I-50134 Florence, Italy.
  2. Department of Experimental and Clinical Medicine, University of Florence, I-50134 Florence, Italy.

PMID: 28451419 PMCID: PMC5403270 DOI: 10.3892/mco.2017.1132

Abstract

Hepatocellular carcinoma (HCC) is the principal primary liver tumor, representing the third largest cause of cancer-associated death worldwide. The actual reference standard systemic treatment for advanced HCC is represented by sorafenib, a multi-targeted orally active small-molecule tyrosine kinase inhibitor. Sorafenib has exhibited a good general safety profile in multiple clinical trials. However, adverse drug-associated events are common, occasionally severe, and special attention should be paid to cardiovascular adverse events, particularly in patients with risk factors or known heart disease. In the present study, the case of a patient with no known cardiovascular risk factors affected by highly enhancing advanced HCC in cirrhotic liver, who died during successful sorafenib monotherapy, is reported.

Keywords: case report; hepatocellular carcinoma; sorafenib; sudden cardiac death; tyrosine kinase inhibitor; vascular endothelial growth factor

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