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HER2阴性晚期胃腺癌同步放化疗联合抗PD-1治疗后的持久反应:一例报告

Durable Response After Combination Of Concurrent Chemoradiotherapy And Anti-PD-1 Therapy In HER2-Negative Advanced Gastric Adenocarcinoma: A Case Report.

作者信息

Yu Shanshan, Cai Luya, Lin Fan, Wu Xueyuan, Zhang Cheng, Liu Xuan, Li Wenfeng

机构信息

Department of Chemoradiation Oncology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China.

Department of Gynaecology and Obstetrics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China.

出版信息

Onco Targets Ther. 2019 Sep 19;12:7691-7698. doi: 10.2147/OTT.S221436. eCollection 2019.

Abstract

Advanced gastric cancer (AGC) is difficult to treat with poor prognosis. Despite various possible treatments, the median survival time of such patients remains unsatisfactory. Therefore, new therapeutic approaches or combinations need to be further explored. We herein reported a case of a 54-year-old male patient who was initially diagnosed with HER2-negative advanced gastric cancer. Based on previous studies and patient's desire, we made a therapeutic plan: the combination of concurrent radiochemotherapy and immune checkpoint blockade therapy. After about 4 months of combined therapy, the patient showed satisfactory complete response to tumor lesions even metastatic lesions (CR, disappearance of all target lesions). In summary, the combination of concurrent SOX regimen chemotherapy, stomach radiotherapy and PD-1 antibody immunotherapy is effective in the treatment of advanced gastric cancer.

摘要

进展期胃癌(AGC)治疗困难,预后较差。尽管有多种可能的治疗方法,但这类患者的中位生存时间仍不尽人意。因此,需要进一步探索新的治疗方法或联合方案。我们在此报告一例54岁男性患者,最初被诊断为HER2阴性进展期胃癌。基于既往研究及患者意愿,我们制定了治疗方案:同步放化疗与免疫检查点阻断治疗联合。联合治疗约4个月后,患者对肿瘤病灶甚至转移病灶均显示出令人满意的完全缓解(CR,所有靶病灶消失)。总之,同步SOX方案化疗、胃部放疗及PD-1抗体免疫治疗联合在进展期胃癌治疗中有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a57a/6757230/68a2c83d16ea/OTT-12-7691-g0001.jpg

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