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Vinblastine, Bleomycin, Cisplatin Vascular Toxicity, Chemotherapy

Severe vascular toxicity associated with vinblastine, bleomycin, and cisplatin chemotherapy

Brian L. Samuels1, Nicholas J. Vogelzang1 and B. J. Kennedy2   Contact Information

(1) Department of Medicine, Section of Hematology/Oncology, University of Chicago, Chicago, Ill, USA
(2) Department of Medicine, Section of Medical Oncology, University of Minnesota, Minneapolis, Minn, USA

Received: 29 May 1986  Accepted: 30 December 1986  

Summary  Vascular toxicity following the use of vinblastine, bleomycin, and cisplatin (VBP) combination chemotherapy has been described. This report gives details of 5 patients who suffered acute life-threatening vascular events following such a chemotherapy regimen for germ cell tumors. In 3 of the cases no evidence of tumor was found at autopsy. Both an acute and a long-term vascular toxicity were seen. Large artery vascular disease may result from synergistic toxicity of the drugs comprising the regimen. These cases, with an additional 16 collected from the literature, suggest that major vascular disease is a significant side-effect of the VBP regimen.
Supported by the Jazz and Blues Fund and by the Deborah Goldfine Reva Smilgoff Memorial Fund. Brian Samuels is the Triangle Industries Cancer Research Fellow

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  1. Fléchon, Aude (2008) Management of advanced germ-cell tumors of the testis. Nature Clinical Practice Urology
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  2. Lindeman, Geoffrey J. (1991) MANAGEMENT OF TESTICULAR SEMINOMA AT WESTMEAD HOSPITAL FROM 1980 to 87. ANZ Journal of Surgery 61(3)
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