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阿帕替尼联合培美曲塞治疗晚期卵巢癌:一例病例报告。

Use of apatinib combined with pemetrexed for advanced ovarian cancer: A case report.

作者信息

Sun Huiting, Xiao Min, Liu Sufen, Shi Ruxia

机构信息

Department of Gynaecology, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University Changzhou Cancer Hospital, Soochow University, Changzhou, China.

出版信息

Medicine (Baltimore). 2018 Jul;97(27):e11036. doi: 10.1097/MD.0000000000011036.

DOI:10.1097/MD.0000000000011036
PMID:29979376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6076125/
Abstract

INTRODUCTION

Ovarian cancer is the most deadly gynecologic cancer, and the therapy is very difficult. Apatinib is a novel tyrosine kinase inhibitor targeting vascular endothelial growth factor receptor-2. At present, there are few studies or case reports on apatinib treatment for patients with ovarian cancer.

CASE PRESENTATION

A 75-year-old Chinese woman had a medical history of ovarian high-grade serous papillary adenocarcinoma, who got many lines of chemotherapy and apatinib-an antiangiogenesis drug therapy. Either alone or in combination, apatinib may extend the survival time of patients with advanced ovarian cancer.

CONCLUSION

Apatinib may be an option for advanced ovarian cancer after failure of chemotherapy or other targeted therapy. The role of apatinib in the treatment of advanced ovarian cancer needs further study.

摘要

引言

卵巢癌是最致命的妇科癌症,治疗非常困难。阿帕替尼是一种新型的靶向血管内皮生长因子受体-2的酪氨酸激酶抑制剂。目前,关于阿帕替尼治疗卵巢癌患者的研究或病例报告较少。

病例介绍

一名75岁的中国女性有卵巢高级别浆液性乳头状腺癌病史,接受了多线化疗及阿帕替尼——一种抗血管生成药物治疗。单独或联合使用阿帕替尼可能会延长晚期卵巢癌患者的生存时间。

结论

阿帕替尼可能是化疗或其他靶向治疗失败后晚期卵巢癌的一种选择。阿帕替尼在晚期卵巢癌治疗中的作用需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c84/6076125/cfa8101577bc/medi-97-e11036-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c84/6076125/76cf85cb4913/medi-97-e11036-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c84/6076125/992ea747685f/medi-97-e11036-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c84/6076125/0e8eb4d846b0/medi-97-e11036-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c84/6076125/e98dcaa516fa/medi-97-e11036-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c84/6076125/cfa8101577bc/medi-97-e11036-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c84/6076125/76cf85cb4913/medi-97-e11036-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c84/6076125/992ea747685f/medi-97-e11036-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c84/6076125/0e8eb4d846b0/medi-97-e11036-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c84/6076125/e98dcaa516fa/medi-97-e11036-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c84/6076125/cfa8101577bc/medi-97-e11036-g005.jpg

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本文引用的文献

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Successful treatment of ovarian cancer with apatinib combined with chemotherapy: A case report.阿帕替尼联合化疗成功治疗卵巢癌:一例报告
Medicine (Baltimore). 2017 Nov;96(45):e8570. doi: 10.1097/MD.0000000000008570.
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Apatinib treatment combined with chemotherapy for advanced epithelial ovarian cancer: a case report.阿帕替尼联合化疗治疗晚期上皮性卵巢癌:一例病例报告
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Randomized, Double-Blind, Placebo-Controlled Phase III Trial of Apatinib in Patients With Chemotherapy-Refractory Advanced or Metastatic Adenocarcinoma of the Stomach or Gastroesophageal Junction.随机、双盲、安慰剂对照 III 期临床试验评价阿帕替尼用于化疗耐药的晚期或转移性胃或胃食管结合部腺癌患者的疗效。
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Intracellular autocrine VEGF signaling promotes EBDC cell proliferation, which can be inhibited by Apatinib.细胞内自分泌血管内皮生长因子(VEGF)信号传导促进肝内胆管癌细胞(EBDC)增殖,而阿帕替尼可抑制这一过程。
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