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[一例直肠癌肝转移患者,对先前化疗(5-氟尿嘧啶/亚叶酸钙、伊立替康、奥沙利铂)耐药,对贝伐单抗联合FOLFIRI化疗有反应]

[A case of liver metastasis of rectal cancer, refractory to previous chemotherapy(5-FU/LV, irinotecan, oxaliplatin) responding to bevacizumab combined with FOLFIRI chemotherapy].

作者信息

Nishigami Kohei, Kawami Hiroyuki, Yamaguchi Tomohito, Yamaguchi Kiyotaka, Kato Seiichi

机构信息

Division of Digestive and General Surgery, Hokuto Hospital.

出版信息

Gan To Kagaku Ryoho. 2009 Oct;36(10):1765-8.

Abstract

The case was a 69-year-old man with liver metastasis who had relapsed after the resection of rectal cancer. We treated the patient with FOLFIRI+bevacizumab(BV)after the failure of S-1+CPT-11, radiation, UFT/LV, FOLFOX and FOLFIRI regimen. The tumor marker level and accumulation of FDG-PET were rapidly decreased after initiating FOLFIRI+BV. There was no serious adverse event, and a remarkable improvement of QOL was observed. This case suggests that the BV combination regimen is useful even after the failure of FOLFOX and FOLFIRI regimen.

摘要

该病例为一名69岁的男性,患有肝转移,在直肠癌切除术后复发。在S-1+CPT-11、放疗、UFT/LV、FOLFOX和FOLFIRI方案治疗失败后,我们采用FOLFIRI+贝伐单抗(BV)对该患者进行治疗。开始使用FOLFIRI+BV后,肿瘤标志物水平和FDG-PET的摄取迅速下降。未出现严重不良事件,且观察到生活质量有显著改善。该病例表明,即使在FOLFOX和FOLFIRI方案治疗失败后,BV联合方案仍有效。

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