Skip to main content

Advertisement

Log in

Hand-Fuß-Syndrom bei Tyrosinkinaseinhibitortherapie

Empfehlungen für die Praxis

Hand-foot syndrome with tyrosine kinase inhibitor therapy

Treatment recommendations

  • Übersichten
  • Published:
Der Urologe Aims and scope Submit manuscript

Zusammenfassung

Ein wesentlicher Pfeiler der Therapie des fortgeschrittenen Nierenzellkarzinoms ist heute die Behandlung mit Tyrosinkinaseinhibitoren. Das Hand-Fuß-Syndrom ist eine häufige Nebenwirkung dieser Therapie und schränkt je nach Schweregrad die Lebensqualität der Patienten oft erheblich ein. Eine effektive Behandlung ist daher entscheidend und eine Standardisierung der Behandlungsempfehlungen wünschenswert. Das vorliegende Manuskript stellt praxisnahe und standardisierte Behandlungsempfehlungen insbesondere für die ambulante Versorgung in der urologisch-onkologischen Praxis vor und diskutiert verschiedene Strategien für Prophylaxe und Therapie des Hand-Fuß-Syndroms.

Abstract

A significant component of advanced renal cell carcinoma therapy is treatment with tyrosine kinase inhibitors. Hand-foot syndrome is a frequent adverse reaction and the quality of life of patients can be considerably affected depending on the severity. Effective treatment options are, therefore, essential and standardization of treatment recommendations is desirable. In this article practical and standardized recommendations for the treatment of outpatients with hand-foot syndrome are introduced and several strategies for prophylaxis and therapy are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Literatur

  1. Chu D, Lacouture ME, Fillos T, Wu S (2008) Risk of hand-foot skin reaction with sorafenib: a systematic review and meta-analysis. Acta Oncol 47:176–186

    Article  PubMed  CAS  Google Scholar 

  2. Chu D, Lacouture ME, Weiner E, Wu S (2009) Risk of hand-foot skin reaction with the multitargeted kinase inhibitor sunitinib in patients with renal cell and non-renal cell carcinoma: a meta-analysis. Clin Genitourin Cancer 7:11–19

    Article  PubMed  Google Scholar 

  3. Fischer A, Wu S, Ho AL, Lacouture ME (2013) The risk of hand-foot skin reaction to axitinib, a novel VEGF inhibitor: a systematic review of literature and meta-analysis. Invest New Drugs 30(4):1773–1781

    Google Scholar 

  4. Balagula Y, Wu S, Su X et al (2012) The risk of hand-foot skin reaction to pazopanib, a novel multikinase inhibitor: a systematic review of literature and meta-analysis. Invest New Drugs 30:1773–1781

    Article  PubMed  CAS  Google Scholar 

  5. Wood LS, Lemont H, Jatoi A et al (2010) Practical considerations in the management of hand-foot skin reaction caused by multikinase inhibitors. Community Oncol 7:23–29

    Article  Google Scholar 

  6. Zuehlke RL (1974) Erythematous eruption of the pamls and soles associated with mitotane therapy. Dermatologica 148:90–92

    Article  PubMed  CAS  Google Scholar 

  7. Baack BR, Burgdorf WH (1991) Chemotherapy-induced acral erythema. J Am Acad Dermatol 24:457–461

    Article  PubMed  CAS  Google Scholar 

  8. Degen A, Alter M, Schenck F et al (2010) The hand-foot-syndrome associated with medical tumor therapy – classification and management. J Dtsch Dermatol Ges 8:652–661

    PubMed  Google Scholar 

  9. Lacouture ME, Wu S, Robert C et al (2008) Evolving strategies for the management of hand-foot skin reaction associated with the multitargeted kinase inhibitors sorafenib and sunitinib. Oncologist 13:1001–1011

    Article  PubMed  CAS  Google Scholar 

  10. Martschick A, Sehouli J, Patzelt A et al (2009) The pathogenetic mechanism of anthracycline-induced palmar-plantar erythrodysesthesia. Anticancer Res 29:2307–2314

    PubMed  CAS  Google Scholar 

  11. Kollmannsberger C, Bjarnason G, Burnett P et al (2011) Sunitinib in metastatic renal cell carcinoma: recommendations for management of noncardiovascular toxicities. Oncologist 16:543–553

    Article  PubMed  CAS  Google Scholar 

  12. Wollenberg A, Staehler M, Eames T (2010) Kutane Nebenwirkungen der Multikinaseinhibitoren Sorafenib und Sunitinib. Hautarzt 61:662–667

    Article  PubMed  CAS  Google Scholar 

  13. Lopez AM, Wallace L, Dorr RT et al (1999) Topical DMSO treatment for pegylated liposomal doxorubicin-induced palmar-plantar erythrodystesthesia. Cancer Chemother Pharmacol 44:303–306

    Article  PubMed  CAS  Google Scholar 

  14. Robert C, Mateus C, Spatz A et al (2009) Dermatologic symptoms associated with the multikinase inhibitor sorafenib. J Am Acad Dermatol 60:299–305

    Article  PubMed  Google Scholar 

  15. Strumberg D, Awada A, Hirte H et al (2006) Pooled safety analysis of BAY 43–9006 (sorafenib) monotherapy in patients with advanced solid tumours: is rash associated with treatment outcome? Eur J Cancer 42:548–556

    Article  PubMed  CAS  Google Scholar 

  16. Donskov F, Michaelson MD, Puzanov I et al (2012) Comparative assessment of Sunitinib-associated adverse events as potential biomarkers of efficacy in metastatic renal cell carcinoma (mRCC). European Society for Medical Oncology, Vienna

  17. Huptas L, Rompoti N, Herbig S et al (2011) Schmerzreduktion bei Patienten mit chronischem Ulcus cruris durch ein neu entwickeltes Morphingel. Hautarzt 62:280–286

    Article  PubMed  CAS  Google Scholar 

  18. Kara IO, Sahin B, Erkisi M (2006) Palmar-plantar erythrodysesthesia due to docetaxel-capecitabine therapy is treated with vitamin E without dose reduction. Breast 15:414–424

    Article  PubMed  Google Scholar 

  19. Podlekareva Farr K, Safwat A (2011) Palmar-plantar erythrodysesthesia associated with chemotherapy and its treatment. Case Rep Oncol 4:229–235

    Article  Google Scholar 

  20. Mangili G, Petrone M, Gentile C et al (2008) Prevention strategies in palmar-plantar erythrodysesthesia onset: the role of regional cooling. Gynecol Oncol 108:332–335

    Article  PubMed  CAS  Google Scholar 

  21. Kingsley EC (1994) 5-fluorouracil dermatitis prophylaxis with a nicotine patch. Ann Intern Med 120:813

    Article  PubMed  CAS  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor weist für sich und seinen Koautor auf folgende Beziehung hin: Diese Publikation wurde von der Firma Pfizer finanziell unterstützt.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to G.J. Burbach.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Burbach, G., Zuberbier, T. Hand-Fuß-Syndrom bei Tyrosinkinaseinhibitortherapie. Urologe 52, 1574–1578 (2013). https://doi.org/10.1007/s00120-013-3204-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00120-013-3204-7

Schlüsselwörter

Keywords

Navigation