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基因靶向药物伊卡替尼软胶囊与免疫调节剂及经动脉化疗栓塞术联合应用为晚期肝癌患者的药物联合治疗带来新希望:1例病例报告及文献综述

The Synergy of Gene Targeting Drug Icaritin Soft Capsule with Immunomodulator and TACE Brings New Hope for Drug Combination in Patients with Advanced Liver Cancer: A Case Report and Literature Review.

作者信息

Tang Xiaoxia, Zhang Yizhuo, Dong Xinyu, Jiang Guixing, Hong Defei, Liu Xiaolong

机构信息

Operating Room, Sir Run Run Shaw Hospital of Zhejiang University School of Medicine, Hangzhou, People's Republic of China.

General Surgery, Sir Run Run Shaw Hospital of Zhejiang University School of Medicine, Hangzhou, People's Republic of China.

出版信息

Cancer Manag Res. 2023 Jul 18;15:707-717. doi: 10.2147/CMAR.S414487. eCollection 2023.

Abstract

At present, the average five-year survival rate of liver cancer in China is only 12.1%. The reason for this association lies in the diagnosis at its middle or/and advanced stage of liver cancer for lacking special clinical symptoms in almost 70% of patients without the chance of effective surgical resection. Epidemiological studies have shown that there are only 30% of patients with an initial diagnosis of liver cancer have the opportunity to undergo radical surgery. Therefore, systematic and comprehensive treatment would play an important role in liver cancer treatment at its middle or/and advanced stage, and the related therapeutic schedule still needs further improvement and optimization. We applied a gene-targeted drug of Icaritin soft capsule in the treatment of a liver cancer patient at its advanced stage. And the level of AFP was found to decrease to 6.4ng/mL from 10.86ng/mL; meanwhile, MRI showed that the primary tumor significantly reduced in size, with shrinking of the hepatogastric space, hepatic aortic side, and renal artery side lymph nodes. After treatment with TACE and Icaritin, the patient had no discomfort and no longer experienced abdominal pain and bloating and gained three kilograms of weight. The therapeutic effect of Icaritin-targeted drugs was completely demonstrated during the later treatment follow-up. That is to say, the multiple anti-tumor characteristics of Icaritin with good safety were fully displayed in this case, and it can be used in combination with other drugs to treat hepatocellular carcinoma in the clinical setting. The results show that Icaritin can put some effects on the combined treatment of patients with liver cancer.

摘要

目前,我国肝癌的平均五年生存率仅为12.1%。出现这种情况的原因在于,近70%的患者因肝癌缺乏特异性临床症状,确诊时已处于中晚期,失去了有效手术切除的机会。流行病学研究表明,初诊肝癌患者中仅有30%有机会接受根治性手术。因此,系统全面的治疗对于中晚期肝癌的治疗至关重要,相关治疗方案仍需进一步改进和优化。我们应用了一种基因靶向药物——淫羊藿素软胶囊治疗一名晚期肝癌患者。发现甲胎蛋白(AFP)水平从10.86ng/mL降至6.4ng/mL;同时,磁共振成像(MRI)显示原发肿瘤显著缩小,肝胃间隙、肝动脉旁及肾动脉旁淋巴结均有缩小。经肝动脉化疗栓塞术(TACE)和淫羊藿素治疗后,患者无不适,不再腹痛腹胀,体重增加了3公斤。淫羊藿素靶向药物的治疗效果在后续治疗随访中得到了充分体现。也就是说,淫羊藿素的多重抗肿瘤特性及良好的安全性在该病例中得到了充分展现,在临床中可与其他药物联合用于治疗肝细胞癌。结果表明,淫羊藿素在肝癌患者的联合治疗中能发挥一定作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4557/10362861/502afd737801/CMAR-15-707-g0001.jpg

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