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索拉非尼低剂量治疗不可切除肝细胞癌完全缓解 1 例报告。

Complete remission of unresectable hepatocellular carcinoma treated with reduced dose of sorafenib: a case report.

机构信息

Division of Hematology/Oncology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

出版信息

Target Oncol. 2010 Mar;5(1):59-63. doi: 10.1007/s11523-010-0133-x. Epub 2010 Mar 23.

DOI:10.1007/s11523-010-0133-x
PMID:20309643
Abstract

Hepatocellular carcinoma (HCC) is a highly aggressive cancer. For patients who are diagnosed with advanced stage disease that are not surgical candidates, the disease is universally lethal. Advance has been made to extend survival with molecular target therapy, but durable complete responses are extremely rare. We report an unusual case where a 74-year-old patient with unresectable HCC received eight months of reduced-dose of sorafenib, a tyrosine kinase inhibitor, and achieved a durable complete remission. At the most recent follow up, he remains in remission 16 months after cessation of treatment, without clinical or imaging evidence of disease recurrence.

摘要

肝细胞癌(HCC)是一种侵袭性很强的癌症。对于那些被诊断为晚期且不适合手术的患者,这种疾病是普遍致命的。随着分子靶向治疗的进步,已经可以延长生存时间,但完全持久缓解的情况极为罕见。我们报告了一个不常见的病例,一名 74 岁的不可切除 HCC 患者接受了 8 个月的索拉非尼(一种酪氨酸激酶抑制剂)低剂量治疗,并实现了持久的完全缓解。在最近的随访中,他在停止治疗 16 个月后仍处于缓解状态,没有疾病复发的临床或影像学证据。

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Target Oncol. 2010 Mar;5(1):59-63. doi: 10.1007/s11523-010-0133-x. Epub 2010 Mar 23.
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引用本文的文献

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Case Rep Gastroenterol. 2021 Jul 8;15(2):610-615. doi: 10.1159/000514529. eCollection 2021 May-Aug.
2
Long-term remission in advanced stage hepatocellular carcinoma? A chance for cure?晚期肝细胞癌的长期缓解?治愈的机会?
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Complete response of advanced hepatocellular carcinoma to sorafenib: another case and a comprehensive review.

本文引用的文献

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MAPK-independent impairment of T-cell responses by the multikinase inhibitor sorafenib.多激酶抑制剂索拉非尼对T细胞反应的不依赖MAPK的损害。
Mol Cancer Ther. 2009 Feb;8(2):433-40. doi: 10.1158/1535-7163.MCT-08-1051. Epub 2009 Feb 3.
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Efficacy and safety of sorafenib in patients in the Asia-Pacific region with advanced hepatocellular carcinoma: a phase III randomised, double-blind, placebo-controlled trial.索拉非尼在亚太地区晚期肝细胞癌患者中的疗效和安全性:一项III期随机、双盲、安慰剂对照试验。
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Complete clinical response of metastatic hepatocellular carcinoma to sorafenib in a patient with hemochromatosis: a case report.
索拉非尼治疗晚期肝细胞癌的完全缓解:另一个病例及全面综述。
Clin Mol Hepatol. 2017 Dec;23(4):340-346. doi: 10.3350/cmh.2016.0070. Epub 2017 Jun 20.
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Sudden cardiac death in a patient with advanced hepatocellular carcinoma with good response to sorafenib treatment: A case report with literature analysis.索拉非尼治疗反应良好的晚期肝细胞癌患者发生心脏性猝死:一例报告并文献分析
Mol Clin Oncol. 2017 Mar;6(3):389-396. doi: 10.3892/mco.2017.1132. Epub 2017 Jan 16.
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Complete response with sorafenib and transcatheter arterial chemoembolization in unresectable hepatocellular carcinoma.索拉非尼联合经动脉化疗栓塞术治疗不可切除肝细胞癌的完全缓解
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Deteriorated portal flow may cause liver failure in patients with hepatocellular carcinoma being treated with sorafenib.在接受索拉非尼治疗的肝细胞癌患者中,门静脉血流恶化可能导致肝衰竭。
J Gastrointest Oncol. 2016 Jun;7(3):E36-40. doi: 10.21037/jgo.2015.10.07.
7
Effectiveness of medical supportive team for outpatients treated with sorafenib: a retrospective study.医学支持团队对接受索拉非尼治疗的门诊患者的有效性:一项回顾性研究。
J Pharm Health Care Sci. 2015 Feb 18;1:6. doi: 10.1186/s40780-014-0005-0. eCollection 2015.
8
Long-term outcomes of patients with advanced hepatocellular carcinoma who achieved complete remission after sorafenib therapy.经索拉非尼治疗后实现完全缓解的晚期肝细胞癌患者的长期预后。
Clin Mol Hepatol. 2015 Sep;21(3):287-94. doi: 10.3350/cmh.2015.21.3.287. Epub 2015 Sep 30.
9
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Case Rep Gastroenterol. 2015 Aug 6;9(2):285-90. doi: 10.1159/000438746. eCollection 2015 May-Aug.
10
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World J Gastroenterol. 2015 Feb 28;21(8):2568-72. doi: 10.3748/wjg.v21.i8.2568.
铁沉积症患者索拉非尼治疗转移性肝细胞癌的完全临床缓解:病例报告。
J Hematol Oncol. 2008 Oct 17;1:18. doi: 10.1186/1756-8722-1-18.
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Spontaneous regression of hepatocellular carcinoma: three case reports and a categorized review of the literature.肝细胞癌的自发消退:三例报告及文献分类综述
Dig Dis Sci. 2009 May;54(5):1147-53. doi: 10.1007/s10620-008-0447-z. Epub 2008 Aug 21.
5
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Ann Surg Oncol. 2007 Jun;14(6):1835-45. doi: 10.1245/s10434-007-9366-z. Epub 2007 Apr 4.
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Sorafenib blocks the RAF/MEK/ERK pathway, inhibits tumor angiogenesis, and induces tumor cell apoptosis in hepatocellular carcinoma model PLC/PRF/5.索拉非尼阻断RAF/MEK/ERK通路,抑制肿瘤血管生成,并在肝癌模型PLC/PRF/5中诱导肿瘤细胞凋亡。
Cancer Res. 2006 Dec 15;66(24):11851-8. doi: 10.1158/0008-5472.CAN-06-1377.
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Spreds, inhibitors of the Ras/ERK signal transduction, are dysregulated in human hepatocellular carcinoma and linked to the malignant phenotype of tumors.Spreds是Ras/ERK信号转导的抑制剂,在人类肝细胞癌中失调,并与肿瘤的恶性表型相关。
Oncogene. 2006 Oct 5;25(45):6056-66. doi: 10.1038/sj.onc.1209635. Epub 2006 May 1.
10
Phase I clinical and pharmacokinetic study of the Novel Raf kinase and vascular endothelial growth factor receptor inhibitor BAY 43-9006 in patients with advanced refractory solid tumors.新型Raf激酶和血管内皮生长因子受体抑制剂BAY 43 - 9006用于晚期难治性实体瘤患者的I期临床和药代动力学研究。
J Clin Oncol. 2005 Feb 10;23(5):965-72. doi: 10.1200/JCO.2005.06.124. Epub 2004 Dec 21.