PMID- 32337210 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2307-8960 (Print) IS - 2307-8960 (Electronic) IS - 2307-8960 (Linking) VI - 8 IP - 7 DP - 2020 Apr 6 TI - Clinical effects of apatinib mesylate for treatment of multiple brain micrometastases: Two case reports. PG - 1326-1336 LID - 10.12998/wjcc.v8.i7.1326 [doi] AB - BACKGROUND: Apatinib is a small-molecule multitargeted tyrosine kinase inhibitor. Apatinib has demonstrated encouraging antitumor activities. This study aimed to observe the efficacy and safety of apatinib for the treatment of multiple brain micrometastases. CASE SUMMARY: We report two patients with multiple brain micrometastases after failure of second-line treatment. Both patients had extracerebral metastases. When the patients took 250 mg/d apatinib orally, the intracerebral lesions disappeared. The extracerebral lesions were partially alleviated. Both patients had a progression-free survival of more than 12 mo and were still stable. The safety was good. The main adverse events (AEs) were mild hypertension and proteinuria, which could be controlled. CONCLUSION: Apatinib has clear efficacy and good tolerance in patients with multiple brain micrometastases after failure of second-line treatment. CI - (c)The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Guo, Jun-Hui AU - Guo JH AD - Department of Oncology, The Second Affiliated Hospital of Henan University of Chinese Medicine, Henan Province Hospital of TCM, Zhengzhou 450002, Henan Province, China. gjunhui2008@163.com. FAU - Wang, Yuan-Yuan AU - Wang YY AD - Department of Oncology, The Second Affiliated Hospital of Henan University of Chinese Medicine, Henan Province Hospital of TCM, Zhengzhou 450002, Henan Province, China. FAU - Zhang, Jiang-Wei AU - Zhang JW AD - Department of Oncology, The Second Affiliated Hospital of Henan University of Chinese Medicine, Henan Province Hospital of TCM, Zhengzhou 450002, Henan Province, China. FAU - Liu, Pei-Min AU - Liu PM AD - Department of Oncology, The Second Affiliated Hospital of Henan University of Chinese Medicine, Henan Province Hospital of TCM, Zhengzhou 450002, Henan Province, China. FAU - Hao, Yan-Jun AU - Hao YJ AD - Department of Oncology, The Second Affiliated Hospital of Henan University of Chinese Medicine, Henan Province Hospital of TCM, Zhengzhou 450002, Henan Province, China. FAU - Duan, Hai-Rui AU - Duan HR AD - Department of Oncology, The Second Affiliated Hospital of Henan University of Chinese Medicine, Henan Province Hospital of TCM, Zhengzhou 450002, Henan Province, China. LA - eng PT - Case Reports PL - United States TA - World J Clin Cases JT - World journal of clinical cases JID - 101618806 PMC - PMC7176611 OTO - NOTNLM OT - Apatinib OT - Brain micrometastases OT - Cervical adenocarcinoma OT - Esophageal squamous cell carcinoma OT - Tyrosine kinase inhibitor OT - Vascular endothelial growth factor COIS- Conflict-of-interest statement: The authors declare no conflicts of interest. EDAT- 2020/04/28 06:00 MHDA- 2020/04/28 06:01 PMCR- 2020/04/06 CRDT- 2020/04/28 06:00 PHST- 2019/12/17 00:00 [received] PHST- 2020/03/05 00:00 [revised] PHST- 2020/03/10 00:00 [accepted] PHST- 2020/04/28 06:00 [entrez] PHST- 2020/04/28 06:00 [pubmed] PHST- 2020/04/28 06:01 [medline] PHST- 2020/04/06 00:00 [pmc-release] AID - 10.12998/wjcc.v8.i7.1326 [doi] PST - ppublish SO - World J Clin Cases. 2020 Apr 6;8(7):1326-1336. doi: 10.12998/wjcc.v8.i7.1326.