Hirakawa Hiroyuki, Kiba Takayoshi, Saito Yuko, Watanabe Yoshiteru, Suzuki Takahiro, Ota Nobuo
Department of Pharmacy, Tohoku Medical and Pharmaceutical University Hospital, Sendai, Japan.
Department of Clinical Oncology, Tohoku Medical and Pharmaceutical University Hospital, Sendai, Japan.
Case Rep Oncol. 2017 Aug 23;10(2):783-789. doi: 10.1159/000479677. eCollection 2017 May-Aug.
Adenoid cystic carcinoma (ACC) is a rare form of adenocarcinoma, which is a broad term describing any cancer that begins in the glandular tissues. It can be found in the head and neck. We report a patient with recurrent ACC arising from the submandibular gland, treated with 100 mg/m nedaplatin every 4 weeks. Although our patient's lactate dehydrogenase levels, which is produced by ACC, showed a rising trend throughout the treatment, the level decreased for approximately 2 weeks immediately after administration of nedaplatin every 4 weeks. Thus, there is a possibility that the agent may be effective. Complications such as anorexia and nausea were observed, but they were tolerated and manageable. Nedaplatin may be considered as a supportive agent during palliative therapy for patients with ACC. More clinical trials regarding nedaplatin are necessary, as this study may indicate that a medical approach works well for ACC.
腺样囊性癌(ACC)是腺癌的一种罕见形式,腺癌是一个宽泛的术语,用于描述任何起源于腺组织的癌症。它可发生于头颈部。我们报告了一例复发性下颌下腺腺样囊性癌患者,每4周接受100 mg/m²奈达铂治疗。尽管我们患者由腺样囊性癌产生的乳酸脱氢酶水平在整个治疗过程中呈上升趋势,但每4周给予奈达铂后,该水平立即下降了约2周。因此,该药物有可能有效。观察到了诸如厌食和恶心等并发症,但患者能够耐受且可控制。对于腺样囊性癌患者,在姑息治疗期间可考虑将奈达铂作为一种支持性药物。由于本研究可能表明药物治疗对腺样囊性癌有效,因此有必要开展更多关于奈达铂的临床试验。