[在SOX+尼沃卢马布治疗不可切割的胃癌期间出现伪进展的情况]
Hiroki Watanabe1, Ayano Kakimoto, Ayumi Mizuno
1Dept. of Surgery, Numazu City Hospital.
Gan to kagaku ryoho. Cancer & chemotherapy
|February 14, 2025
概括
一名患有晚期胃癌的患者经历了SOX加尼沃卢马布治疗的稳定疾病. 在停止治疗后发生了意外的瘤减少和腹膜扩散的解决,这表明胃癌的伪进展.
科学领域:
- 胃肠病学 胃肠病学
- 医学瘤学 医学瘤学
- 手术瘤学手术瘤学
背景情况:
- 标记细胞癌是一种胃癌的侵袭性亚型.
- 晚期胃癌通常在手术管理和治疗疗效方面存在挑战.
研究的目的:
- 报告一个先进的胃癌病例,用缓性化疗和免疫疗法治疗.
- 为了突出SOX加尼沃卢马布治疗后胃癌的伪进展的发生.
主要方法:
- 一名78岁的男性患有无法切除的,局部发达的胃标签细胞癌,经历了胃.
- 患者接受了息化疗 (SOX) 与尼沃卢马布 (nivolumab) 结合,随后接受了最佳支持性护理.
主要成果:
- 最初的治疗导致疾病在10个月内稳定.
- 在停止治疗后,该患者表现出原发性瘤大小的减少和腹膜扩散的解决,这表明了伪进展.
- 由于腹膜扩散而引起的胃结节术狭窄发生,导致过渡到最佳支持性护理.
结论:
- 在接受SOX加nivolumab治疗的胃癌患者中,伪进展可能发生.
- 必须仔细监测,以区分真实进展和伪进展,特别是在停止免疫治疗后.
- 这一案例强调了高级胃癌管理中的复杂反应模式.
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