Academic Journal

Pathological complete response of locally advanced colon cancer after preoperative radiotherapy: a case report and narrative review of the literature

التفاصيل البيبلوغرافية
العنوان: Pathological complete response of locally advanced colon cancer after preoperative radiotherapy: a case report and narrative review of the literature
المؤلفون: Sho Sekiya, Kiyotaka Imamura, Shintaro Takeuchi, Koichi Teramura, Yusuke Watanabe, Eiji Tamoto, Minoru Takada, Yoshihiro Kinoshita, Yoshiyasu Anbo, Fumitaka Nakamura, Nobuichi Kashimura, Hiroko Noguchi, Katsutoshi Miura, Satoshi Hirano
المصدر: Surgical Case Reports, Vol 4, Iss 1, Pp 1-5 (2018)
بيانات النشر: SpringerOpen, 2018.
سنة النشر: 2018
المجموعة: LCC:Surgery
مصطلحات موضوعية: Colon cancer, Radiotherapy, Pathological complete response, Surgery, RD1-811
الوصف: Abstract Background The oncological effectiveness of preoperative radiotherapy for locally advanced colon cancer is unclear. We report a case of pathological complete response in a patient with locally advanced ascending colon cancer after preoperative radiotherapy following failure of chemotherapy. Case presentation A 65-year-old Japanese woman presented with malaise and hematochezia. A computed tomography (CT) revealed a tumor in the ascending colon which seemed to infiltrate the adjacent structures. She was diagnosed with locally advanced ascending colon cancer stages T4b, N2a, M0, and IIIC. We selected modified FOLFOX6 with panitumumab as neoadjuvant chemotherapy. However, we discontinued the chemotherapy after the 8th cycle because of disease progression and severe adverse effects. The patient then underwent radiotherapy of 60 Gy in 30 fractions, resulting in significant tumor size reduction. One month after the radiotherapy, we performed a right hemicolectomy with multivisceral resection without complications. Histopathologically, we found no residual cancer cells in the resected specimen. The patient remains alive and has not required additional therapies for 24 months, as there are no signs of recurrence. Conclusions The present case suggests that preoperative radiotherapy might be an effective treatment options for locally advanced colon cancer.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2198-7793
Relation: http://link.springer.com/article/10.1186/s40792-018-0466-8; https://doaj.org/toc/2198-7793
DOI: 10.1186/s40792-018-0466-8
URL الوصول: https://doaj.org/article/a52b516b12cd4d2aa32591dc3281e940
رقم الانضمام: edsdoj.52b516b12cd4d2aa32591dc3281e940
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:21987793
DOI:10.1186/s40792-018-0466-8