Skip to main content
Top
Published in: Techniques in Coloproctology 3/2010

01-09-2010 | Case Report

Mifepristone (RU486), a pure antiprogesterone drug, in combination with vinblastine for the treatment of progesterone receptor-positive desmoid tumor

Authors: A. Halevy, I. Samuk, Z. Halpern, L. Copel, J. Sandbank, Y. Ziv

Published in: Techniques in Coloproctology | Issue 3/2010

Login to get access

Abstract

We report the case of a patient who developed a desmoid tumor following total proctocolectomy and J-pouch reconstruction that was unresponsive to any medical treatment. Based on estrogen receptor alpha (ERα) and progesterone receptor (PR) evaluation (ERα-negative, but PR-positive), treatment with mifepristone, a pure antiprogesterone drug, was initiated, and partial tumor regression was achieved.
Literature
1.
go back to reference Ruo L, Guillem JG (2001) Familial adenomatous polyposis. In: Cameron JL (ed) Current surgical therapy. CV Mosby St. Louis, London, pp 222–228 Ruo L, Guillem JG (2001) Familial adenomatous polyposis. In: Cameron JL (ed) Current surgical therapy. CV Mosby St. Louis, London, pp 222–228
2.
go back to reference Knudsen AL, Bülow S (2001) Desmoid tumor in familial adenomatous polyposis. A review of literature. Fam Cancer 1:111–119CrossRefPubMed Knudsen AL, Bülow S (2001) Desmoid tumor in familial adenomatous polyposis. A review of literature. Fam Cancer 1:111–119CrossRefPubMed
3.
4.
go back to reference Järvinen HJ (1987) Desmoid disease as a part of familial adenomatous polyposis coli. Acta Chir Scand 153:379–383PubMed Järvinen HJ (1987) Desmoid disease as a part of familial adenomatous polyposis coli. Acta Chir Scand 153:379–383PubMed
5.
go back to reference Gurbuz AK, Giardiello FM, Petersen GM et al (1994) Desmoid tumours in familial adenomatous polyposis. Gut 35:377–381CrossRefPubMed Gurbuz AK, Giardiello FM, Petersen GM et al (1994) Desmoid tumours in familial adenomatous polyposis. Gut 35:377–381CrossRefPubMed
6.
go back to reference Heiskanen I, Järvinen HJ (1996) Occurrence of desmoid tumors in familial adenomatous polyposis and results of treatment. Int J Colorectal Dis 11:157–162CrossRefPubMed Heiskanen I, Järvinen HJ (1996) Occurrence of desmoid tumors in familial adenomatous polyposis and results of treatment. Int J Colorectal Dis 11:157–162CrossRefPubMed
7.
go back to reference Heidemann J, Ogawa H, Otterson MF et al (2004) Antiangiogenic treatment of mesenteric desmoid tumors with toremifene and interferon alfa-2b: report of two cases. Dis Colon Rectum 47:118–122CrossRefPubMed Heidemann J, Ogawa H, Otterson MF et al (2004) Antiangiogenic treatment of mesenteric desmoid tumors with toremifene and interferon alfa-2b: report of two cases. Dis Colon Rectum 47:118–122CrossRefPubMed
8.
go back to reference Baulieu EE (1989) Contragestion and other clinical applications of RU 486, an antiprogesterone at the receptor. Science 245:1351–1357CrossRefPubMed Baulieu EE (1989) Contragestion and other clinical applications of RU 486, an antiprogesterone at the receptor. Science 245:1351–1357CrossRefPubMed
9.
go back to reference Chatzipetrou MA, Tzakis AG, Pinna AD et al (2001) Intestinal transplantation for the treatment of desmoid tumors associated with familial adenomatous polyposis. Surgery 129:277–281CrossRefPubMed Chatzipetrou MA, Tzakis AG, Pinna AD et al (2001) Intestinal transplantation for the treatment of desmoid tumors associated with familial adenomatous polyposis. Surgery 129:277–281CrossRefPubMed
10.
go back to reference Calne RY, Pollard SG, Jamieson NV et al (1993) Intestinal transplant for recurring mesenteric desmoid tumor. Lancet 342:58–59CrossRefPubMed Calne RY, Pollard SG, Jamieson NV et al (1993) Intestinal transplant for recurring mesenteric desmoid tumor. Lancet 342:58–59CrossRefPubMed
11.
go back to reference Tonelli F, Valanzano R, Brandi ML (1994) Pharmacologic treatment of desmoid tumors in familial adenomatous polyposis: results of an in vitro study. Surgery 115:473–479PubMed Tonelli F, Valanzano R, Brandi ML (1994) Pharmacologic treatment of desmoid tumors in familial adenomatous polyposis: results of an in vitro study. Surgery 115:473–479PubMed
12.
go back to reference Picariello L, Fiorelli G, Benvenuti S et al (1997) In vitro bioeffects of the antiestrogen LY117018 on desmoid tumor and colon cancer cells. Anticancer Res 17:2099–2104PubMed Picariello L, Fiorelli G, Benvenuti S et al (1997) In vitro bioeffects of the antiestrogen LY117018 on desmoid tumor and colon cancer cells. Anticancer Res 17:2099–2104PubMed
13.
go back to reference Picariello L, Tonelli F, Brandi ML (2004) Selective oestrogen receptor modulators in desmoid tumours. Expert Opin Investig Drugs 13:1457–1468CrossRefPubMed Picariello L, Tonelli F, Brandi ML (2004) Selective oestrogen receptor modulators in desmoid tumours. Expert Opin Investig Drugs 13:1457–1468CrossRefPubMed
14.
go back to reference Grunberg SM, Weiss MH, Spitz IM et al (1991) Treatment of unresectable meningiomas with the antiprogesterone agent mifepristone. J Neurosurg 74:861–866CrossRefPubMed Grunberg SM, Weiss MH, Spitz IM et al (1991) Treatment of unresectable meningiomas with the antiprogesterone agent mifepristone. J Neurosurg 74:861–866CrossRefPubMed
15.
16.
Metadata
Title
Mifepristone (RU486), a pure antiprogesterone drug, in combination with vinblastine for the treatment of progesterone receptor-positive desmoid tumor
Authors
A. Halevy
I. Samuk
Z. Halpern
L. Copel
J. Sandbank
Y. Ziv
Publication date
01-09-2010
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 3/2010
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-010-0591-2

Other articles of this Issue 3/2010

Techniques in Coloproctology 3/2010 Go to the issue