Two Cases of Long-Term Survival of Advanced Colorectal Cancer with Synchronous Lung Metastases Treated with mFOLFOX6/XELOX + Bevacizumab
Autor: | Mariko Ogura, Yuta Ushida, Masato Ozaka, Keisho Chin, Mitsukuni Suenaga, Kensei Yamaguchi, Takeru Wakatsuki, Takashi Ichimura, Eiji Shinozaki, Daisuke Takahari |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
0301 basic medicine
medicine.medical_specialty Bevacizumab Colorectal cancer medicine.medical_treatment Case Report lcsh:RC254-282 Advanced colorectal cancer 03 medical and health sciences Long-term survival Long term survival medicine Favorable outcome Complete response Chemotherapy Lung business.industry lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease 030104 developmental biology medicine.anatomical_structure Lung metastasis Oncology Radiology business medicine.drug |
Zdroj: | Case Reports in Oncology Case Reports in Oncology, Vol 11, Iss 2, Pp 601-608 (2018) |
ISSN: | 1662-6575 |
Popis: | Background: Colorectal cancer (CRC) with lung metastases has an unfavorable prognosis. However, nowadays, even advanced CRC can have a favorable outcome in certain cases. A complete response (CR) is a rare event in advanced CRC with lung metastases. Herein, we report 2 rare cases of advanced CRC attaining a CR. Case Presentation: Case 1 was a 58-year-old man who underwent laparoscopic ileocecal resection for cecum cancer with multiple metastases to the lungs in 2011. We performed treatment with mFOLFOX6 and bevacizumab chemotherapy in August 2011. After 11 courses, computed tomography (CT) revealed a CR to chemotherapy in February 2012. He has remained disease-free for 5 years and 3 months. Case 2 was a 70-year-old woman who underwent laparoscopic ileocecal resection for cecum cancer in August 2010. Recurrence of multiple metastases to both lungs was detected in November 2010. We started treatment with XELOX and bevacizumab chemotherapy in January 2011. In January 2011, CT after 14 courses revealed disappearance of the lung lesions, thereby indicating a CR. She has remained disease-free for 5 years and 4 months. Conclusion: We encountered 2 patients with CRC with lung metastases who were treated with chemotherapy leading to a CR. Cases resulting in such a desirable outcome are extremely rare. |
Databáze: | OpenAIRE |
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