Cytoreductive surgery and HIPEC with oxaliplatin for the treatment of peritoneal carcinomatosis from recurrent fibrolamellar carcinoma.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Luca Ballelli, Emilio Vicente, Yolanda Quijano, Valentina Ferri
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引用次数: 0

Abstract

Fibrolamellar hepatocellular carcinoma (FHCC) is a rare variant of hepatocellular carcinoma (HCC), characterised by a poorer prognosis in later stages compared with conventional HCC due to a high rate of local recurrence, lymph node metastasis and peritoneal metastasis. Conventional chemotherapy is generally ineffective, making surgery the only potentially curative treatment. Currently, surgery is also indicated in cases of recurrence, always aiming for an R0 resection.We present the case of a young patient with peritoneal and retroperitoneal carcinomatosis following multiple resections, exhibiting a peculiar 'sarcomatoid' pattern of recurrence that is primarily local and not widespread within the abdomen. Immunotherapy was ineffective, and after the third recurrence, a cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy was performed.To date, there are no studies on the effectiveness of intraperitoneal chemotherapy in FHCC, though promising results have been observed for conventional HCC. As reported in two other articles in the literature, we attempted to apply this approach to FHCC.

细胞减少手术和HIPEC联合奥沙利铂治疗复发性纤维板层癌腹膜癌病。
纤维层状肝细胞癌(FHCC)是一种罕见的肝细胞癌(HCC),由于其局部复发、淋巴结转移和腹膜转移率高,晚期预后较传统HCC差。传统的化疗通常是无效的,使手术成为唯一可能治愈的治疗方法。目前,复发的病例也需要手术治疗,通常以R0切除为目标。我们报告一例年轻的腹膜和腹膜后癌患者,在多次切除后,表现出一种特殊的“肉瘤样”复发模式,主要是局部的,而不是腹部的广泛复发。免疫治疗无效,在第三次复发后,进行了细胞减少手术联合腹腔内高温化疗。迄今为止,还没有关于FHCC腹膜内化疗有效性的研究,尽管在常规HCC中已经观察到令人鼓舞的结果。正如文献中另外两篇文章所报道的那样,我们试图将这种方法应用于FHCC。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Case Reports
BMJ Case Reports Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
1588
期刊介绍: BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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