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一例无法手术切除的胰腺癌患者经多次射频消融后生活质量改善的病例。

A case of improved quality of life in a patient with inoperable pancreatic cancer after repeated RFA.

作者信息

Toria Nino, Kikodze Nino, Janikashvili Nona, Pantsulaia Ia, Mizandari Malkhaz, Chikovani Tinatin, Habib Nagy

机构信息

Department of Immunology, Tbilisi State Medical University, 33 Vazha-Pshavela Ave, Tbilisi, 0186, Georgia.

V. Bakhutashvili Institute of Medical Biotechnology, Tbilisi State Medical University, Tbilisi, Georgia.

出版信息

Radiol Case Rep. 2022 Jul 29;17(10):3607-3610. doi: 10.1016/j.radcr.2022.07.017. eCollection 2022 Oct.

DOI:10.1016/j.radcr.2022.07.017
PMID:35923339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9340145/
Abstract

Radiofrequency ablation (RFA) has widespread popularity due to its immune-modulation effects in many cancers. Optimal settings to apply RFA in pancreatic cancer, in which the advanced stage of the tumor at the diagnosis makes various therapeutic approaches fail, are still demanding. We report the case of a patient with unresectable pancreatic cancer in which 3 repetitive RFA has been applied over a period of 3 months. Results revealed an improvement in the patient's clinical condition associated with the reduced incidence of CD4+CD45RO+ T lymphocytes and declined TGF-β level in serum. The good quality of life and disease-free survival were maintained for the next months. Booster application of RFA procedure might be a promising option to improve the quality of life in pancreatic cancer patients.

摘要

射频消融术(RFA)因其在多种癌症中的免疫调节作用而广受欢迎。在胰腺癌中应用RFA的最佳设置仍有待确定,因为胰腺癌在诊断时处于晚期,使得各种治疗方法均告失败。我们报告了一例不可切除胰腺癌患者的病例,该患者在3个月内接受了3次重复RFA治疗。结果显示,患者的临床状况有所改善,同时血清中CD4+CD45RO+ T淋巴细胞的发生率降低,转化生长因子-β水平下降。在接下来的几个月里,患者保持了良好的生活质量和无病生存期。再次应用RFA治疗可能是改善胰腺癌患者生活质量的一个有前景的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/927a/9340145/ebed84545d9c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/927a/9340145/ebed84545d9c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/927a/9340145/ebed84545d9c/gr1.jpg

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本文引用的文献

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Needle-guided ablation of locally advanced pancreatic cancer: cytoreduction or immunomodulation by in vivo vaccination?针引导下局部晚期胰腺癌消融:通过体内接种疫苗进行肿瘤细胞减灭还是免疫调节?
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Analysis of Endoscopic Radiofrequency Ablation of Biliary Malignant Strictures in Pancreatic Cancer Suggests Potential Survival Benefit.胰腺癌胆道恶性狭窄的内镜下射频消融分析显示可能具有生存获益。
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TGFβ Is a Master Regulator of Radiation Therapy-Induced Antitumor Immunity.转化生长因子β是放射治疗诱导的抗肿瘤免疫的主要调节因子。
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