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联合化疗方案治疗转移性胰腺腺癌的成功。

Successful treatment of metastatic pancreatic adenocarcinoma with combination chemotherapy regimens.

机构信息

Department of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN, USA.

出版信息

Int J Clin Oncol. 2009 Oct;14(5):478-81. doi: 10.1007/s10147-008-0873-0. Epub 2009 Oct 25.

DOI:10.1007/s10147-008-0873-0
PMID:19856062
Abstract

Pancreatic adenocarcinoma is the fourth leading cause of cancer deaths in the United States. Current 5-year survival is less than 4%, highlighting the dire need for effective treatment. We report the case of a 41-year-old woman who was diagnosed with advanced metastatic well-to-moderately differentiated mucinous adenocarcinoma of the pancreas, involving the liver and peritoneal cavity. She agreed to receive novel combination chemotherapy rather than the standard-of-care treatment. This patient was treated with three unique combination regimens. Complete response of multiple liver and peritoneal metastases and reduction in size with increasing calcification of the pancreatic mass occurred in this patient after 18 months of treatment. This report documents the individual response to effective and well-tolerated treatment regimens integrating available drugs.

摘要

胰腺腺癌是美国癌症死亡的第四大主要原因。目前的 5 年生存率不足 4%,这突显了对有效治疗方法的迫切需求。我们报告了一例 41 岁女性的病例,她被诊断患有晚期转移性中高度分化黏液性腺癌,累及肝脏和腹腔。她同意接受新型联合化疗,而不是标准治疗。该患者接受了三种独特的联合治疗方案。在治疗 18 个月后,该患者的多个肝和腹膜转移灶完全缓解,胰腺肿块的大小缩小,并且出现了越来越多的钙化。本报告记录了个体对有效且耐受良好的治疗方案的反应,这些方案整合了现有药物。

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本文引用的文献

1
Pharmacologic principles of intraperitoneal chemotherapy for the treatment of ovarian cancer.用于治疗卵巢癌的腹腔内化疗的药理学原理。
Int J Gynecol Cancer. 2008 Mar-Apr;18 Suppl 1:20-5. doi: 10.1111/j.1525-1438.2007.01099.x.
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Role of platinum agents in the management of advanced pancreatic cancer.铂类药物在晚期胰腺癌治疗中的作用。
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Ann Oncol. 2007 Jun;18 Suppl 7:vii1-vii10. doi: 10.1093/annonc/mdm210.
6
Gemcitabine-based combinations for inoperable pancreatic cancer: have we made real progress? A meta-analysis of 20 phase 3 trials.基于吉西他滨的联合方案治疗不可切除胰腺癌:我们真的取得进展了吗?一项对20项3期试验的荟萃分析
Cancer. 2007 Aug 1;110(3):525-33. doi: 10.1002/cncr.22809.
7
The gemcitabine, docetaxel, and capecitabine (GTX) regimen for metastatic pancreatic cancer: a retrospective analysis.吉西他滨、多西他赛和卡培他滨(GTX)方案治疗转移性胰腺癌:一项回顾性分析。
Cancer Chemother Pharmacol. 2008 Jan;61(1):167-75. doi: 10.1007/s00280-007-0473-0. Epub 2007 Apr 18.
8
Principles and practice of intraperitoneal chemotherapy for ovarian cancer.卵巢癌腹腔内化疗的原则与实践
Int J Gynecol Cancer. 2007 Jan-Feb;17(1):1-20. doi: 10.1111/j.1525-1438.2007.00809.x.
9
Phase I and pharmacokinetic trial of carboplatin and albumin-bound paclitaxel, ABI-007 (Abraxane) on three treatment schedules in patients with solid tumors.卡铂与白蛋白结合型紫杉醇(ABI-007,商品名Abraxane)针对实体瘤患者的三种治疗方案的I期及药代动力学试验。
Cancer Chemother Pharmacol. 2007 Oct;60(5):759-66. doi: 10.1007/s00280-007-0423-x. Epub 2007 Feb 7.
10
Phase II trial of bevacizumab plus gemcitabine in patients with advanced pancreatic cancer.贝伐单抗联合吉西他滨治疗晚期胰腺癌的II期试验。
J Clin Oncol. 2005 Nov 1;23(31):8033-40. doi: 10.1200/JCO.2005.01.9661.