Devastating effects of chemotherapy: deafness and acute renal failure in a patient with epithelial ovarian cancer

Int J Gynecol Cancer. 2006 Jan-Feb:16 Suppl 1:394-6. doi: 10.1111/j.1525-1438.2006.00214.x.

Abstract

Paclitaxel and platinum combination is the standard chemotherapy regimen for patients with advanced epithelial ovarian cancer. The dose-limiting toxicity effects of this combination are myelosuppression and neuropathy. Herein, we report a case of a 71-year-old female with advanced epithelial ovarian cancer who developed bilateral total loss of hearing and acute renal failure related with paclitaxel- and carboplatin-based chemotherapy. Acute renal failure accompanied by complete loss of hearing in patients treated with carboplatin and paclitaxel combination has not been previously reported. This uncommon adverse effect of carboplatin and paclitaxel combination was discussed, and all the literature in English related with the toxicity of paclitaxel and carboplatin were reviewed.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / chemically induced*
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects*
  • Carboplatin / administration & dosage
  • Carboplatin / adverse effects
  • Carcinoma / drug therapy*
  • Deafness / chemically induced*
  • Fatal Outcome
  • Female
  • Gynecologic Surgical Procedures
  • Humans
  • Ovarian Neoplasms / drug therapy*
  • Paclitaxel / administration & dosage
  • Paclitaxel / adverse effects
  • Reoperation

Substances

  • Carboplatin
  • Paclitaxel