Multiple-line Chemotherapy for a Patient with Unresectable Mucinous Cystic Neoplasm of the Pancreas

A 74-year-old woman with a cyst in her pancreatic tail was referred to our hospital. Computed tomography confirmed a large cystic lesion with irregular wall thickening, abdominal lymph node swelling, and ascites. We diagnosed her with an unresectable mucinous cystic neoplasm, since ascites cytology...

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Detalles Bibliográficos
Autores principales: Miwa, Haruo, Sugimori, Kazuya, Ishii, Tomohiro, Funaoka, Akihiro, Tsuchiya, Hiromi, Suzuki, Yoshimasa, Sugimori, Makoto, Nishimura, Masaki, Tozuka, Yuichiro, Komiyama, Satoshi, Sato, Takeshi, Kaneko, Takashi, Numata, Kazushi, Maeda, Shin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8429298/
https://www.ncbi.nlm.nih.gov/pubmed/33642489
http://dx.doi.org/10.2169/internalmedicine.6755-20
Descripción
Sumario:A 74-year-old woman with a cyst in her pancreatic tail was referred to our hospital. Computed tomography confirmed a large cystic lesion with irregular wall thickening, abdominal lymph node swelling, and ascites. We diagnosed her with an unresectable mucinous cystic neoplasm, since ascites cytology revealed adenocarcinoma. The patient received chemotherapy up to the fifth line for 55.2 months. Gemcitabine plus nab-paclitaxel and modified FOLFIRINOX achieved a partial response with a progression-free survival time of 12.1 and 20.4 months, respectively. The overall survival time from the beginning of first-line chemotherapy was 69.4 months.

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