病例报告:新辅助药mFOLFIRINOX的病例报告导致胰腺状腺癌的部分病理反应
Deepak Dev Vivekanandan1, Hardeep Singh2, Nelson Andrew Royall1
1Department of Surgery, Northeast Georgia Medical Center, 743 Spring Street NE, Gainesville, GA 30501, United States.
Journal of surgical case reports
|May 28, 2024
概括
这份案例报告强调了修改后的FOLFIRINOX (mFOLFIRINOX) 化疗在治疗胰腺腺素状癌 (PASC) 的疗效. 这项研究表明mFOLFIRINOX可能是这种罕见的胰腺癌亚型的有价值的治疗选择.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 胰腺腺癌 (PASC) 是胰腺癌的一种罕见而激进的亚型.
- 对PASC的最佳新辅助疗法仍未完全定义.
研究的目的:
- 报告一个用新辅助剂mFOLFIRINOX治疗的PASC病例.
- 评估PASC中对新辅助剂mFOLFIRINOX的放射和病理反应.
- 审查mFOLFIRINOX在治疗PASC方面的潜在疗效.
主要方法:
- 一名患有PASC的患者接受了新辅助药mFOLFIRINOX的九个周期.
- 通过重复分期来评估放射性反应.
- 进行了手术切除 (胰腺节切除术).
- 进行了最终的病理学和显微镜检查.
主要成果:
- 患者在新辅助剂mFOLFIRINOX后表现出部分放射性反应.
- 最终的病理学揭示了差差分化的状腺癌与R1边际状态.
- 显微镜检查表明,腺体和状部分都有反应.
结论:
- 新辅助剂mFOLFIRINOX在这个PASC病例中表现出放射性反应.
- mFOLFIRINOX可能是胰腺腺状癌的有效化疗方案.
- 帕斯克的腺体成分似乎对mFOLFIRINOX有反应,类似于胰腺管道腺癌.
相关概念视频
Targeted Cancer Therapies
7.0K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.0K
Drugs for Peptic Ulcer Disease: Sucralfate as Mucosal Protective Agents
2.3K
In the intricate landscape of the gastric lumen, excessive acid secretion disrupts the natural defense mechanisms, weakening the mucus-bicarbonate barrier. This vulnerability allows pepsin to infiltrate epithelial cells, digesting mucosal proteins and triggering erosion, leading to ulcer formation.
In this scenario, mucosal protective agents like sucralfate play an essential role. Sucralfate, a complex of sulfated sucrose and aluminum hydroxide, demonstrates its usefulness in acidic conditions,...
In this scenario, mucosal protective agents like sucralfate play an essential role. Sucralfate, a complex of sulfated sucrose and aluminum hydroxide, demonstrates its usefulness in acidic conditions,...
2.3K
Drugs for Treatment of Ulcerative Colitis in IBD
705
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
705
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
755
Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
755
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
81
Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
81
Drug toxicity: Drug–Drug Interaction
423
Drug–drug interactions can precipitate toxicity through multiple mechanisms. Absorption interactions alter how drugs enter the body, exemplified when ranitidine increases the absorption of basic drugs, while cholestyramine decreases the levels of propranolol. Protein binding interactions occur when drugs share the same binding sites on plasma proteins. Drugs like aspirin and warfarin, when bound in excess, can lead to increased free drug concentrations, enhancing the potential for...
423


