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通过多学科治疗实现了伴有KRAS突变的胆囊癌肉瘤患者的长期生存:病例报告及文献综述

Long-term survival was achieved through multidisciplinary treatment of a patient with gallbladder carcinosarcoma accompanied by KRAS mutation: a case report and literature review.

作者信息

Liao Yedan, Lai Junbo, Yang Jilan, Long Tingfeng, Wu Xi, Luo Dan, Tan Jin, Zhang Ke, Tang Jiadai, Xie Lin

机构信息

Department of Gastroenterology Oncology, Yunnan Cancer Hospital, The Third Affiliated Hospital of Kunming Medical University, Peking University Cancer Hospital Yunnan, Kunming, China.

The Third Affiliated Hospital of Kunming Medical University & Clinical Oncology College, Kunming, China.

出版信息

Front Oncol. 2025 Mar 27;14:1506949. doi: 10.3389/fonc.2024.1506949. eCollection 2024.

Abstract

Carcinosarcoma of the gallbladder (CSGB) is an extremely rare subtype of primary gallbladder malignancy, which with a high rate of preoperative misdiagnosis due to its nonspecific clinical symptoms and imaging findings, as well as a high rate of recurrence within a short period of time after surgery, resulting in a very poor prognosis. Through a search of the medical literature, we found that there are few reports of CSGB receiving comprehensive treatments and achieving relatively good outcomes. Here, we report a rare case of CSGB with KRAS G12V mutation that achieved survival time of 32 months after receiving a combination of treatments including surgery, chemotherapy, radiotherapy, and immunotherapy, and we conducted a literature review for the disease with the aim of raising awareness of the disease.

摘要

胆囊癌肉瘤(CSGB)是原发性胆囊恶性肿瘤中一种极其罕见的亚型,因其临床症状和影像学表现不具特异性,术前误诊率高,且术后短时间内复发率高,导致预后极差。通过检索医学文献,我们发现很少有关于CSGB接受综合治疗并取得相对良好疗效的报道。在此,我们报告1例罕见的KRAS G12V突变型CSGB病例,该病例在接受手术、化疗、放疗和免疫治疗联合方案后存活了32个月,并且我们对该疾病进行了文献综述,旨在提高对该疾病的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3081/11995190/fbc212311efc/fonc-14-1506949-g001.jpg

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