Kimura Youhei, Goi Takanori, Sawai Katsuji, Iida Atsushi, Katayama Kanji, Yamaguchi Akio
First Dept. of Surgery, University of Fukui.
Gan To Kagaku Ryoho. 2012 Jun;39(6):967-9.
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.
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。