Nephrotoxicity of nitrosoureas.

Abstract:

:Irreversible and progressive renal parenchymal damage and functional impairment occurred in the majority of patients receiving at least six courses (200 mg/m2 of BCNU and/or methyl CCNU at eight-week intervals) of nitrosoureas for therapy of malignant brain tumors. Seventeen of 18 patients who received at least six courses and all nine patients who received more than ten courses developed impaired renal function as judged by elevation of blood urea nitrogen and/or serum creatinine or decrease in filtration rate as determined by inulin clearance. Four patients have developed uremia. Renal tissue obtained from seven patients demonstrated tubular atrophy, interstitial fibrosis and glomerular sclerosis. This remarkably high incidence of renal damage occurred without a phase of acute renal failure and in the absence of significant urinary abnormalities, while producing an insidiously progressive interstitial renal lesion.

journal_name

Cancer

journal_title

Cancer

authors

Schacht RG,Feiner HD,Gallo GR,Lieberman A,Baldwin DS

doi

10.1002/1097-0142(19810915)48:6<1328::aid-cncr2820

subject

Has Abstract

pub_date

1981-09-15 00:00:00

pages

1328-34

issue

6

eissn

0008-543X

issn

1097-0142

journal_volume

48

pub_type

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