A Case of Lenvatinib-Induced Focal Segmental Glomerulosclerosis (FSGS) in Metastatic Medullary Thyroid Cancer

We describe a case of lenvatinib (E7080) associated focal segmental glomerulosclerosis (FSGS) encountered during the treatment of metastatic medullary thyroid cancer. Proteinuria is a relatively common side effect of VEGF-targeted treatments and can occasionally result in treatment discontinuation....

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Main Authors: Kathryn Fleming, James McGuinness, David Kipgen, Hilary Glen, Pavlina Spiliopoulou
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2018/6927639
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author Kathryn Fleming
James McGuinness
David Kipgen
Hilary Glen
Pavlina Spiliopoulou
author_facet Kathryn Fleming
James McGuinness
David Kipgen
Hilary Glen
Pavlina Spiliopoulou
author_sort Kathryn Fleming
collection DOAJ
description We describe a case of lenvatinib (E7080) associated focal segmental glomerulosclerosis (FSGS) encountered during the treatment of metastatic medullary thyroid cancer. Proteinuria is a relatively common side effect of VEGF-targeted treatments and can occasionally result in treatment discontinuation. Here, we describe a patient who developed secondary FSGS necessitating discontinuation of treatment at first but who was subsequently rechallenged with anti-VEGF-targeted treatment without recurrence of proteinuria. Lenvatinib was a novel experimental agent at the time the treatment took place; however, its recent licensing for the treatment of thyroid malignancies in the UK makes reporting of these adverse effects all the more important now.
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institution Kabale University
issn 2090-6706
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series Case Reports in Oncological Medicine
spelling doaj-art-bce0a28a77c3435484c6451c858aa2e12025-02-03T07:25:50ZengWileyCase Reports in Oncological Medicine2090-67062090-67142018-01-01201810.1155/2018/69276396927639A Case of Lenvatinib-Induced Focal Segmental Glomerulosclerosis (FSGS) in Metastatic Medullary Thyroid CancerKathryn Fleming0James McGuinness1David Kipgen2Hilary Glen3Pavlina Spiliopoulou4Beatson West of Scotland Cancer Centre (BWoSCC), Glasgow, UKBeatson West of Scotland Cancer Centre (BWoSCC), Glasgow, UKQueen Elizabeth University Hospital, Glasgow, UKBeatson West of Scotland Cancer Centre (BWoSCC), Glasgow, UKBeatson West of Scotland Cancer Centre (BWoSCC), Glasgow, UKWe describe a case of lenvatinib (E7080) associated focal segmental glomerulosclerosis (FSGS) encountered during the treatment of metastatic medullary thyroid cancer. Proteinuria is a relatively common side effect of VEGF-targeted treatments and can occasionally result in treatment discontinuation. Here, we describe a patient who developed secondary FSGS necessitating discontinuation of treatment at first but who was subsequently rechallenged with anti-VEGF-targeted treatment without recurrence of proteinuria. Lenvatinib was a novel experimental agent at the time the treatment took place; however, its recent licensing for the treatment of thyroid malignancies in the UK makes reporting of these adverse effects all the more important now.http://dx.doi.org/10.1155/2018/6927639
spellingShingle Kathryn Fleming
James McGuinness
David Kipgen
Hilary Glen
Pavlina Spiliopoulou
A Case of Lenvatinib-Induced Focal Segmental Glomerulosclerosis (FSGS) in Metastatic Medullary Thyroid Cancer
Case Reports in Oncological Medicine
title A Case of Lenvatinib-Induced Focal Segmental Glomerulosclerosis (FSGS) in Metastatic Medullary Thyroid Cancer
title_full A Case of Lenvatinib-Induced Focal Segmental Glomerulosclerosis (FSGS) in Metastatic Medullary Thyroid Cancer
title_fullStr A Case of Lenvatinib-Induced Focal Segmental Glomerulosclerosis (FSGS) in Metastatic Medullary Thyroid Cancer
title_full_unstemmed A Case of Lenvatinib-Induced Focal Segmental Glomerulosclerosis (FSGS) in Metastatic Medullary Thyroid Cancer
title_short A Case of Lenvatinib-Induced Focal Segmental Glomerulosclerosis (FSGS) in Metastatic Medullary Thyroid Cancer
title_sort case of lenvatinib induced focal segmental glomerulosclerosis fsgs in metastatic medullary thyroid cancer
url http://dx.doi.org/10.1155/2018/6927639
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