Handbook of Cancer Treatment-Related Toxicities

Gastrointestinal Toxicities of Immunotherapy

Introduction Novel agents have revolutionized the treatment of cancer, resulting in many benefits for patients. These same agents, however, have been associated with new toxicity profiles compared with traditional chemotherapy. Most of these adverse events have been classified as mild…

Endocrine Toxicities of Immunotherapy

Introduction In the past two decades, the field of cancer immunotherapy evolved from a niche specialty to the frontlines of the fight against cancer. Unlike chemotherapy, immunotherapy unleashes the body’s inherent immune system by boosting it and “releasing its breaks.”…

Mechanisms of Immune-Related Adverse Events

Introduction ■ The origins of immunotherapy can be traced back to the early 1900s when Paul Ehrlich postulated that the host immune system plays a role in the early recognition and elimination of malignant cells. Over the next century, many…

Cardiovascular Toxicities of Targeted Therapy

Introduction Cardiotoxicity is one of the worrisome side effects of cancer-directed therapy. Cardiac adverse events can range from mild to severe and vary between classes of targeted agents. Some relevant cardiac adverse events include electrocardiogram (ECG) changes, QT prolongation, hypertension,…

Dermatological Toxicities of Targeted Therapy

Introduction Targeted therapies are a rapidly expanding group of anticancer drugs, which promise to provide better tolerated and higher efficacy medications compared with conventional systemic chemotherapy. Inhibition of novel pathways or molecules brings about some unexpected and unforeseen adverse effects…

Pulmonary Toxicities of Targeted Therapy

Introduction Prior to the 1990s, cytotoxic chemotherapy was used uniformly for all malignancies. This resulted in heterogeneous responses even within a specific tumor type. As insight was gained about the role of driver mutations (key alterations in the oncogenic addiction…

Gastrointestinal Toxicities of Targeted Therapy

Introduction Targeted therapies are a category of drugs that inhibit cancer by interfering with specific molecules involved in the growth, progression, and spread of malignant cells. Targeted therapies act on specific molecular targets, whereas most standard chemotherapies act on many…

Mechanisms of Toxicities Associated With Targeted Therapy

Introduction Over the last several years, molecularly targeted therapy has emerged as a new generation of cancer treatment and has been integrated into treatment protocols of many hematologic and solid tumors, either as monotherapy or in combination with chemotherapy. In…

Cancer Treatment Infusion Reactions

Introduction Cancer treatments have the potential to cause infusion reactions (IRs). It is important to manage IRs because they may cause treatment disruption and require costly medical interventions. Both cytotoxic and biological agents cause IRs. In general, IRs can be…

Cardiovascular Toxicities of Chemotherapy

Introduction Cardiotoxic effects of chemotherapy are challenging in nature, since myocardial tissue possesses limited regenerative capacity, which renders the heart susceptible to transient and permanent side effects of chemotherapy agents. Furthermore, with increasing incidence of cardiovascular disease in the general…