转化治疗不可切除的肝内胆固醇癌使用凝胺加S-1结合PD-1抑制剂:一个病例报告
Shuangying Zhao1, Xiaodong Zhang1, Jialiang Luo2
1Department of Hepatopancreatobiliary Surgery, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Frontiers in oncology
|January 30, 2025
概括
使用凝胺/S-1和PD-1抑制剂的转化疗法有效地缩小了晚期肝内胆管癌 (iCCA),使手术切除成为可能. 这种免疫化疗方法在患有IIIB期iCCA的患者中实现了完全的病理反应.
科学领域:
- 肝胆道手术是肝胆道的手术.
- 医学瘤学 医学瘤学
- 免疫治疗是一种免疫疗法.
背景情况:
- 肝脏内胆管癌 (iCCA) 是一种高度恶性肝癌.
- 诊断往往发生在晚期,排除了外科手术的选择.
- 转化疗法对于晚期iCCA的切除能力至关重要.
研究的目的:
- 为了评估转化疗法对晚期肝内胆管癌的疗效.
- 在iCCA中报告结局 结合Gemcitabine和S-1 (GS) 与PD-1抑制剂 (Zimberelimab) 的结局.
主要方法:
- 一名74岁的女性患者患有IIIB期iCCA,接受了6次转化疗程.
- 治疗包括凝胺加S-1 (GS) 化疗与PD-1抑制剂 (Zimberelimab) 结合.
- 使用增强型CT扫描来评估瘤反应.
主要成果:
- 增强CT显示,在6个周期后,瘤大小减少了近一半.
- 减少了瘤大小,使得成功进行了根性切除.
- 手术后病理学证实了完全的病理反应.
结论:
- 吉姆西塔/S-1加PD-1抑制剂治疗是高级iCCA的可行转化策略.
- 这种方法可以将无法切除的iCCA转换为切除的状态.
- 成功的转化疗法为高级iCCA患者提供了一种新的治疗途径.
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