Granulocyte Colony Stimulating Factor (G-CSF) Induced Splenic Infarction in Breast Cancer Patient Treated with Dose-Dense Chemotherapy Regimen

Introduction. Granulocyte colony-stimulating factor (G-CSF) is commonly used for prevention and treatment of febrile neutropenia among solid tumor patients. It is considered an effective and relatively safe supportive care medication; however, it can cause rare and serious side effects such as splee...

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Main Authors: Majed A. Alshamrani, Meteb Al-Foheidi, Ahmed H. Abdulrahim
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2019/8174986
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author Majed A. Alshamrani
Meteb Al-Foheidi
Ahmed H. Abdulrahim
author_facet Majed A. Alshamrani
Meteb Al-Foheidi
Ahmed H. Abdulrahim
author_sort Majed A. Alshamrani
collection DOAJ
description Introduction. Granulocyte colony-stimulating factor (G-CSF) is commonly used for prevention and treatment of febrile neutropenia among solid tumor patients. It is considered an effective and relatively safe supportive care medication; however, it can cause rare and serious side effects such as spleen rupture or infarction. Case Presentation. We are reporting a case of a 27-year-old female with breast cancer who has been treated with dose-dense chemotherapy and received colony-stimulating factor as primary prevention of febrile neutropenia that was complicated halfway through with splenic infarction. This finding was confirmed by computed tomography (CT) scan and splenic biopsy. Management was conservative without the need of surgical intervention. Conclusion. Although splenic infarction is an extremely rare side effect of G-CSF, it can be a serious complication that should be recognized, monitored, and managed carefully.
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series Case Reports in Oncological Medicine
spelling doaj-art-0cd5bbd059384caf85e1d27c6c11687a2025-02-03T05:49:57ZengWileyCase Reports in Oncological Medicine2090-67062090-67142019-01-01201910.1155/2019/81749868174986Granulocyte Colony Stimulating Factor (G-CSF) Induced Splenic Infarction in Breast Cancer Patient Treated with Dose-Dense Chemotherapy RegimenMajed A. Alshamrani0Meteb Al-Foheidi1Ahmed H. Abdulrahim2Department of Pharmaceutical Care Services, Ministry of National Guard-Health Affairs, Jeddah, Saudi ArabiaKing Abdullah International Medical Research Center, Saudi ArabiaKing Abdullah International Medical Research Center, Saudi ArabiaIntroduction. Granulocyte colony-stimulating factor (G-CSF) is commonly used for prevention and treatment of febrile neutropenia among solid tumor patients. It is considered an effective and relatively safe supportive care medication; however, it can cause rare and serious side effects such as spleen rupture or infarction. Case Presentation. We are reporting a case of a 27-year-old female with breast cancer who has been treated with dose-dense chemotherapy and received colony-stimulating factor as primary prevention of febrile neutropenia that was complicated halfway through with splenic infarction. This finding was confirmed by computed tomography (CT) scan and splenic biopsy. Management was conservative without the need of surgical intervention. Conclusion. Although splenic infarction is an extremely rare side effect of G-CSF, it can be a serious complication that should be recognized, monitored, and managed carefully.http://dx.doi.org/10.1155/2019/8174986
spellingShingle Majed A. Alshamrani
Meteb Al-Foheidi
Ahmed H. Abdulrahim
Granulocyte Colony Stimulating Factor (G-CSF) Induced Splenic Infarction in Breast Cancer Patient Treated with Dose-Dense Chemotherapy Regimen
Case Reports in Oncological Medicine
title Granulocyte Colony Stimulating Factor (G-CSF) Induced Splenic Infarction in Breast Cancer Patient Treated with Dose-Dense Chemotherapy Regimen
title_full Granulocyte Colony Stimulating Factor (G-CSF) Induced Splenic Infarction in Breast Cancer Patient Treated with Dose-Dense Chemotherapy Regimen
title_fullStr Granulocyte Colony Stimulating Factor (G-CSF) Induced Splenic Infarction in Breast Cancer Patient Treated with Dose-Dense Chemotherapy Regimen
title_full_unstemmed Granulocyte Colony Stimulating Factor (G-CSF) Induced Splenic Infarction in Breast Cancer Patient Treated with Dose-Dense Chemotherapy Regimen
title_short Granulocyte Colony Stimulating Factor (G-CSF) Induced Splenic Infarction in Breast Cancer Patient Treated with Dose-Dense Chemotherapy Regimen
title_sort granulocyte colony stimulating factor g csf induced splenic infarction in breast cancer patient treated with dose dense chemotherapy regimen
url http://dx.doi.org/10.1155/2019/8174986
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AT metebalfoheidi granulocytecolonystimulatingfactorgcsfinducedsplenicinfarctioninbreastcancerpatienttreatedwithdosedensechemotherapyregimen
AT ahmedhabdulrahim granulocytecolonystimulatingfactorgcsfinducedsplenicinfarctioninbreastcancerpatienttreatedwithdosedensechemotherapyregimen