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Ann Oncol ; 27(12): 2172-2184, 2016 12.
Artículo en Inglés | MEDLINE | ID: mdl-27803003

RESUMEN

BACKGROUND: Hepatitis B virus (HBV) reactivation is a well-known risk during chemotherapy for hematological malignancies with reported rates ranging between 14% and 72%. However, there is a paucity of data regarding HBV infection management and reactivation risk in patients receiving systemic treatments for solid tumors. DESIGN: We conducted a PubMed search for publications from January 1990 until May 2016 related to HBV reactivation. The search terms were 'hepatitis B reactivation', cross-referenced with 'chemotherapy', then 'hepatitis B' cross-referenced with International Non-proprietary Name of each of the most used chemotherapy drugs in solid tumors. RESULTS: From these data, a grading of HBV reactivation risk and recommendations for management are given for most frequently used anticancer drugs in solid tumors. CONCLUSION: Most drugs used for the treatment of solid tumors can induce hepatitis B reactivation in HBs antigen-positive patients. HBV screening can be recommended before systemic treatment initiation. Pre-emptive antiviral treatment can reduce the risk of HBV reactivation and prevent chemotherapy disruption.


Asunto(s)
Antineoplásicos/efectos adversos , Virus de la Hepatitis B/efectos de los fármacos , Hepatitis B/patología , Neoplasias/tratamiento farmacológico , Antineoplásicos/uso terapéutico , Doxorrubicina/efectos adversos , Hepatitis B/inducido químicamente , Hepatitis B/virología , Virus de la Hepatitis B/genética , Virus de la Hepatitis B/patogenicidad , Humanos , Neoplasias/complicaciones , Neoplasias/virología , Rituximab/efectos adversos , Activación Viral/efectos de los fármacos
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