Severe thrombocytopenia after trastuzumab in a patient with HER2-positive serous endometrial cancer

BMJ Case Rep. 2023 Jun 1;16(6):e255181. doi: 10.1136/bcr-2023-255181.

Abstract

Trastuzumab is a humanised, monoclonal antibody that interferes with the human epidermal growth factor receptor 2 (HER2)/neu receptor and binds selectively to the HERB2 protein. It has been shown to prolong survival of patients with HER2-positive advanced uterine serous carcinoma.We report the case of a woman in her 70s with HER2-positive metastatic papillary serous endometrial adenocarcinoma, who experienced severe thrombocytopenia related to trastuzumab administration. One week after the first dose of carboplatin/paclitaxel/trastuzumab combination chemotherapy, the patient was admitted to the hospital with vaginal bleeding, melena, petechiae and platelet counts of 0×109/L. The patient was suspected to have a severe trastuzumab-induced thrombocytopenia. A rapid and complete recovery was observed after multiple platelet transfusions, high-dose IV corticosteroids and immunoglobulin.Among the 13 reported cases of trastuzumab-induced thrombocytopenia, this is the first case reported in the literature occurring in a patient with a gynecologic malignancy.

Keywords: Cancer - see Oncology; Cancer intervention; Gynecological cancer; Haematology (drugs and medicines); Obstetrics, gynaecology and fertility.

Publication types

  • Case Reports

MeSH terms

  • Antibodies, Monoclonal / adverse effects
  • Antibodies, Monoclonal, Humanized / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Breast Neoplasms*
  • Carcinoma*
  • Endometrial Neoplasms* / drug therapy
  • Female
  • Humans
  • Receptor, ErbB-2 / metabolism
  • Thrombocytopenia* / chemically induced
  • Trastuzumab / adverse effects
  • Uterine Neoplasms* / pathology

Substances

  • Trastuzumab
  • Antibodies, Monoclonal, Humanized
  • Receptor, ErbB-2
  • Antibodies, Monoclonal