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Clinical Case Report

A retrospective case study of sunitinib treatment in three patients with Von Hippel-Lindau disease

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Pages 766-772 | Received 05 Mar 2018, Accepted 24 Apr 2018, Published online: 09 Jul 2018

Figures & data

Figure 1. Computed tomography (CT) and magnetic resonance imaging (MRI) scans from Patient 1. The CT scans show the right renal cell carcinoma (RCC) and left pheochromocytoma before (A, C) and after (B, D) sunitinib treatment. The MRI scans show the hemangioblastoma in the right cerebellum before sunitinib treatment (E) and the CT scan shows the site of the lesion after the operation (F). Red arrows indicate the masses.

Figure 1. Computed tomography (CT) and magnetic resonance imaging (MRI) scans from Patient 1. The CT scans show the right renal cell carcinoma (RCC) and left pheochromocytoma before (A, C) and after (B, D) sunitinib treatment. The MRI scans show the hemangioblastoma in the right cerebellum before sunitinib treatment (E) and the CT scan shows the site of the lesion after the operation (F). Red arrows indicate the masses.

Figure 2. Computed tomography (CT) scans from Patient 2. The CT scans show multiple right renal cell carcinomas (RCCs) before and after sunitinib treatment, including the masses around the renal hilum (A and E), lower ventral (B and F), dorsal, lower dosal (C and G), superior pole (D and H). Red arrows indicate the masses.

Figure 2. Computed tomography (CT) scans from Patient 2. The CT scans show multiple right renal cell carcinomas (RCCs) before and after sunitinib treatment, including the masses around the renal hilum (A and E), lower ventral (B and F), dorsal, lower dosal (C and G), superior pole (D and H). Red arrows indicate the masses.

Figure 3. Magnetic resonance imaging (MRI) and computed tomography (CT) scans from Patient 3. The MRI scans show multiple RCCs in the left kidney including RCC in the dorsal of the kidney (A and E), ventral of the kidney and beside the spine (B and F), as well as three pancreatic lesions (C and G) before and after sunitinib treatment. The CT scans show the lesion on her back before and after sunitinib treatment (D and H). Red arrows indicate the masses.

Figure 3. Magnetic resonance imaging (MRI) and computed tomography (CT) scans from Patient 3. The MRI scans show multiple RCCs in the left kidney including RCC in the dorsal of the kidney (A and E), ventral of the kidney and beside the spine (B and F), as well as three pancreatic lesions (C and G) before and after sunitinib treatment. The CT scans show the lesion on her back before and after sunitinib treatment (D and H). Red arrows indicate the masses.

Table 1. Characteristics of three patients with VHL disease

Table 2. Changes of the masses in the Patients

Table 3. Treatment-emergent adverse side effects