Systemic bevacizumab for end-stage juvenile recurrent respiratory papillomas: A case report

Int J Pediatr Otorhinolaryngol. 2020 Jan:128:109706. doi: 10.1016/j.ijporl.2019.109706. Epub 2019 Oct 8.

Abstract

We report on two cases of severe recurrent respiratory papillomatosis (RRP) involvement where the anti-vascular endothelial growth factor (VEGF) antibody bevacizumab IV has been administered for treatment. Notably, there have not been any episodes of urgent transfer to the hospital for obstructive events since the bevacizumab was started. It is important to note however, that the disease has not been eliminated. While some pulmonary nodules continue to grow, they have become cavitated. Overall, the number and size of pulmonary lesions has decreased. Therefore, VEGF-targeted therapies, Bevacizumab, could prove to be a promising novel approach for long-term treatment of severe RRP.

Keywords: Bevacizumab; RRP; Tracheal papillomas.

Publication types

  • Case Reports

MeSH terms

  • Airway Obstruction / etiology
  • Airway Obstruction / prevention & control
  • Antineoplastic Agents, Immunological / therapeutic use*
  • Bevacizumab / therapeutic use*
  • Child
  • Humans
  • Male
  • Off-Label Use
  • Papillomavirus Infections / drug therapy*
  • Respiratory Tract Infections / drug therapy*

Substances

  • Antineoplastic Agents, Immunological
  • Bevacizumab

Supplementary concepts

  • Recurrent respiratory papillomatosis