2011, Number 3
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Otorrinolaringología 2011; 56 (3)
Management of juvenile laryngeal papillomatosis with the combined treatment of intralesional cidofovir and bevacizumab
Horcasitas PRA
Language: Spanish
References: 8
Page: 146-148
PDF size: 147.86 Kb.
ABSTRACT
Human papillomaviruses (HPV) are the etiologic agent of multiple hyperproliferative mucosal and skin diseases as well, such injuries can range from mild dysplasia to squamous carcinoma. At present time there is no adequate treatment for HPV infections generated in the airway. We report the case of a 9-year-old girl with a stage laryngeal papillomatosis Derkay-Coltrera of 14, initiating treatment with an injection of cidofovir with a concentration of 7.5 mg/mL in the first session, followed by three injections of Avastin
TM with a concentration of 15 mg/mL with a time interval of 21 days. We evaluated six months after the last application; the vocal cords are free from injury, with a normal voice.
REFERENCES
Toussaint-Smith E, Donner D, Roman A. Expression of human papillomavirus type 16 E6 and E7 oncoproteins in primary foreskin keratinocytes is sufficient to alter the expression of angiogenic factors. Oncogene 2004;23:2988-2995.
Chen W, Li F, Mead L, Roman A. Human papillomavirus causes an angiogenic switch in keratinocytes which is sufficient to alter endothelial cell behavior. Virology 2007;367:168-174.
Scheffner M, Werness B, Huibregtse J. Overexpression of HPV 16 E7 results in degradation of pRB. Cell 1990;63:1129-1136.
Bouck N, Stellmach V, Hsu S. How tumors become angiogenic. Adv Cancer Res 1996;69:135-174.
Micromeedex http://csia micromedex.com/framain. asp?derecho de consulta nov 2009.
Zeitels SM, Lopez GG, Burns JA, Lutch M, et al. Microlaryngoscopic and office-based injection of bevacizumab (Avastin) to enhance 532-nm pulsed KTP laser treatment of glottal papillomatosis. Ann Otol Rhinol Laryngol 2009;201:1-13.
Pransky S, Magit A, Kearns D. Intralesional cidofovir for RRP in children. Arch Otolaryngol Head Neck Surg 1999;10:1143-1148.
Derkay CS, Malis DJ, Zalzal G, Wiatrak BJ et al. A staging system for assessing severity of disease and response to therapy in recurrent respiratory papillomatosis. Laryngoscope 1998;108:935-937.