PMID- 31378564 OWN - NLM STAT- MEDLINE DCOM- 20191125 LR - 20191125 IS - 1399-0020 (Electronic) IS - 0901-5027 (Linking) VI - 48 IP - 12 DP - 2019 Dec TI - Medication-related osteonecrosis of the jaw in a cancer patient receiving lenvatinib. PG - 1530-1532 LID - S0901-5027(19)31239-1 [pii] LID - 10.1016/j.ijom.2019.07.010 [doi] AB - Medication-related osteonecrosis of the jaw (MRONJ) is an adverse drug reaction that affects the mandible and maxilla of patients exposed to bone-targeting agents such as anti-resorptive and anti-angiogenic agents. Several MRONJ cases have been reported after dental extractions in patients under treatment with anti-angiogenic agents, including receptor activator of nuclear factor kappaB ligand (RANKL) inhibitor, anti-vascular endothelial growth factor (anti-VEGF) monoclonal antibody, mammalian target of rapamycin (mTOR) inhibitors, and tyrosine kinase inhibitors (TKIs). The aim of this article was to describe an original case of lenvatinib-related osteonecrosis of the jaw in a patient affected by thyroid cancer. A 58-year-old man diagnosed with Hurthle cell thyroid cancer, who was undergoing treatment with lenvatinib, developed maxillary osteonecrosis after a dental extraction. No other concomitant local or systemic risk factors for MRONJ were present. With new cancer therapies applied every year, it is important to note this novel case of lenvatinib osteonecrosis of the jaw in a patient undergoing cancer treatment. CI - Copyright (c) 2019 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Mauceri, R AU - Mauceri R AD - Department of Surgical, Oncological, and Oral Sciences, Sector of Oral Medicine "Valerio Margiotta", University of Palermo, Palermo, Italy. FAU - Panzarella, V AU - Panzarella V AD - Department of Surgical, Oncological, and Oral Sciences, Sector of Oral Medicine "Valerio Margiotta", University of Palermo, Palermo, Italy. FAU - Morreale, I AU - Morreale I AD - Clinical Pharmacology Unit, Sicilian Regional Centre of Pharmacovigilance, Azienda Ospedaliera Universitaria Policlinico P. Giaccone, University of Palermo, Palermo, Italy. FAU - Campisi, G AU - Campisi G AD - Department of Surgical, Oncological, and Oral Sciences, Sector of Oral Medicine "Valerio Margiotta", University of Palermo, Palermo, Italy. Electronic address: campisi@odonto.unipa.it. LA - eng PT - Journal Article DEP - 20190802 PL - Denmark TA - Int J Oral Maxillofac Surg JT - International journal of oral and maxillofacial surgery JID - 8605826 RN - 0 (Bone Density Conservation Agents) RN - 0 (Diphosphonates) RN - 0 (Phenylurea Compounds) RN - 0 (Quinolines) RN - EE083865G2 (lenvatinib) SB - IM MH - Animals MH - *Bisphosphonate-Associated Osteonecrosis of the Jaw MH - *Bone Density Conservation Agents MH - Diphosphonates MH - Humans MH - Male MH - Middle Aged MH - *Osteonecrosis MH - Phenylurea Compounds MH - *Quinolines OTO - NOTNLM OT - MRONJ OT - dental extraction OT - lenvatinib OT - osteonecrosis of the jaw EDAT- 2019/08/06 06:00 MHDA- 2019/11/26 06:00 CRDT- 2019/08/06 06:00 PHST- 2018/12/02 00:00 [received] PHST- 2019/05/17 00:00 [revised] PHST- 2019/07/15 00:00 [accepted] PHST- 2019/08/06 06:00 [pubmed] PHST- 2019/11/26 06:00 [medline] PHST- 2019/08/06 06:00 [entrez] AID - S0901-5027(19)31239-1 [pii] AID - 10.1016/j.ijom.2019.07.010 [doi] PST - ppublish SO - Int J Oral Maxillofac Surg. 2019 Dec;48(12):1530-1532. doi: 10.1016/j.ijom.2019.07.010. Epub 2019 Aug 2.