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[一例帕尼单抗作为直肠癌多发肝转移和门静脉肿瘤栓塞三线化疗的疗效病例]

[A case of response to panitumumab as third-line chemotherapy for multiple liver metastases and portal venal tumor embolus of rectal cancer].

作者信息

Kimura Youhei, Goi Takanori, Sawai Katsuji, Iida Atsushi, Katayama Kanji, Yamaguchi Akio

机构信息

First Dept. of Surgery, University of Fukui.

出版信息

Gan To Kagaku Ryoho. 2012 Jun;39(6):967-9.

Abstract

A 64-year-old man who underwent rectal amputation for rectal cancer was diagnosed with multiple liver metastases and tumor embolus in the portal vein 6 months after operation. Though the patient underwent chemotherapy, mFOLFOX6, and bevacizumab+FOLFIRI, liver metastases were diagnosed as progressive disease (PD). After panitumumab+FOLFIRI was administered for three months as third-line chemotherapy, the tumor embolus completely disappeared, and liver metastases became cytoreductive on CT. The patient was judged to have achieved a partial response (PR). This case indicated that panitumumab was effective as third-line chemotherapy for unresectable recurrent rectal cancer.

摘要

一名64岁男性因直肠癌接受直肠切除术,术后6个月被诊断为多发肝转移及门静脉肿瘤栓子。尽管患者接受了化疗,即mFOLFOX6方案以及贝伐单抗联合FOLFIRI方案,但肝转移仍被诊断为疾病进展(PD)。在给予帕尼单抗联合FOLFIRI方案作为三线化疗三个月后,肿瘤栓子完全消失,肝脏转移灶在CT上显示为肿瘤细胞减少。该患者被判定达到部分缓解(PR)。此病例表明,帕尼单抗作为不可切除复发性直肠癌的三线化疗有效。

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