Fukushima Toshirou, Tateishi Kazunari, Hanaoka Masayuki, Koiwai Keiichirou, Sasaki Shigeru, Koizumi Tomonobu
First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Department of Radiology, Shinshu University School of Medicine, Matsumoto, Japan.
Case Rep Oncol. 2014 Jan 24;7(1):65-9. doi: 10.1159/000358380. eCollection 2014 Jan.
Little information is available about the usefulness of concurrent chemoradiotherapy for locally advanced thymic carcinoma due to a rare anterior mediastinal tumor. We experienced a case of locally advanced thymic carcinoma that responded well to concurrent thoracic radiotherapy combined with cisplatin plus vinorelbine chemotherapy. The patient showed remarkable tumor regression and has remained disease free for over 4 years following combined therapy. Concurrent chemoradiotherapy seems to be effective for locally advanced thymic carcinoma, and cisplatin plus vinorelbine could be an alternative chemotherapy regimen in combination with thoracic radiotherapy in patients with thymic carcinoma.
由于胸腺肿瘤位于前纵隔且较为罕见,关于同步放化疗对局部晚期胸腺癌的有效性的信息有限。我们遇到一例局部晚期胸腺癌患者,其对同步胸部放疗联合顺铂加长春瑞滨化疗反应良好。该患者肿瘤明显消退,联合治疗后已无病生存超过4年。同步放化疗似乎对局部晚期胸腺癌有效,顺铂加长春瑞滨可能是胸腺癌患者联合胸部放疗时的一种替代化疗方案。