病例报告:患有不耐药转移性胃癌的老年患者对PRaG治疗的病理完整反应
Jun Lv1, Fayi Yu1, Linjiang Pan1
1Department of Radiotherapy, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Frontiers in oncology
|February 2, 2026
概括
胃肝腺癌 (HAS) 是一种罕见的,难以治疗的疾病. 一种结合放射治疗,PD-1阻断和GM-CSF的新型PRaG疗法在先进的HAS病例中实现了完整的反应.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 胃肠道癌症研究研究
背景情况:
- 胃肝腺癌 (HAS) 是一种罕见的胃癌亚型,预后不佳.
- 目前的手术和化疗等治疗方法对先进的HAS提供了不令人满意的结果.
- 放射治疗可以增强抗瘤免疫力,提高免疫治疗的疗效.
研究的目的:
- 报告一个先进的HAS病例,用新型组合疗法治疗.
- 评估PRaG治疗在患有耐火性HAS的患者中的疗效和安全性.
主要方法:
- 该患者接受了放射治疗,编程细胞死亡蛋白1 (PD-1) 阻断和颗粒细胞-巨细胞殖民地刺激因子 (GM-CSF) 的组合,称为PRaG疗法.
- 该患者此前接受过化疗,免疫疗法和向疗法的进展.
主要成果:
- PRaG疗法导致了显著的瘤缩.
- 患者获得了病理完整反应 (pCR),没有严重的不良事件.
- 轻度腹痛 (NRS评分2) 是唯一报告的副作用.
结论:
- 在患有晚期,耐火性HAS的患者中,PRaG疗法显示出有前途的疗效.
- 这种方法可能为转移性HAS患者提供一种新的治疗选择.
- 需要对HAS的PRaG治疗进行进一步的研究.
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