Tanabe Hiroshi, Takase Tsunenobu, Morimoto Daishi, Tanaka Yuri, Shibata Arihiro, Yaguchi Toyohisa
Dept. of Surgery, The Kainan Hospital Aichi Prefectural Federation of Agricultural Cooperatives for Health and Welfare.
Gan To Kagaku Ryoho. 2014 May;41(5):661-4.
A 63-year-old woman underwent surgery for Stage IV cancer of the ascending colon with multiple lymph node metastases. The pathological diagnosis was neuroendocrine carcinoma. Following first-line chemotherapy, the patient presented clinically with progressive disease (PD). Second-line chemotherapy with bevacizumab/Leucovorin and 5-fluorouracil with oxaliplatin (FOLFOX4) was effective and a partial response (PR) was achieved after 7 courses of therapy, as determined by computed tomography (CT) examination. Neuroendocrine carcinoma is known to be extremely malignant; however, this case suggests that chemotherapy with bevacizumab may improve the prognosis of this disease.
一名63岁女性因升结肠癌伴多发淋巴结转移接受了IV期癌症手术。病理诊断为神经内分泌癌。一线化疗后,患者出现临床疾病进展(PD)。使用贝伐单抗/亚叶酸钙和5-氟尿嘧啶联合奥沙利铂(FOLFOX4)进行二线化疗有效,经计算机断层扫描(CT)检查确定,7个疗程的治疗后实现了部分缓解(PR)。神经内分泌癌已知具有极高的恶性程度;然而,该病例表明,使用贝伐单抗化疗可能改善这种疾病的预后。