[Complete response to durvalumab+tremelimumab as second-line therapy after atezolizumab+bevacizumab in peritoneal recurrence after liver resection: a case report].

Q4 Medicine
Shu Inagaki, Yukiyasu Okamura, Hayato Abe, Osamu Aramaki
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引用次数: 0

Abstract

A male patient in his 70s experienced peritoneal dissemination recurrence after resection for hepatocellular carcinoma. The disease progressed despite initial atezolizumab+bevacizumab combination therapy. Consequently, durvalumab+tremelimumab combination therapy was initiated. After one treatment course, the peritoneal disseminated lesions reduced in size, and the protein induced by vitamin K absence or antagonist-II (PIVKA-II) values remarkably decreased. After seven chemotherapy courses, the peritoneal disseminated lesions disappeared, and the PIVKA-II values decreased to normal levels. Peritoneal recurrence after liver resection is generally considered to have a poor prognosis. This case report describes the remarkable efficacy of a combination therapy with durvalumab+tremelimumab after atezolizumab+bevacizumab in advanced hepatocellular carcinoma.

[阿特唑单抗+贝伐单抗治疗肝切除术后腹膜复发,durvalumab+tremelimumab作为二线治疗完全缓解:1例报告]。
一例70多岁男性肝癌切除术后腹膜播散性复发。尽管最初的阿特唑单抗+贝伐单抗联合治疗,疾病仍进展。因此,durvalumab+tremelimumab联合治疗开始了。一个疗程后,腹膜弥散性病变缩小,缺乏维生素K或拮抗剂ii (PIVKA-II)诱导的蛋白显著降低。化疗7个疗程后,腹膜弥散性病变消失,PIVKA-II值降至正常水平。肝切除术后腹膜复发通常被认为预后较差。本病例报告描述了在atezolizumab+bevacizumab治疗晚期肝细胞癌后,durvalumab+tremelimumab联合治疗的显著疗效。
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
Japanese Journal of Gastroenterology
Japanese Journal of Gastroenterology Medicine-Gastroenterology
CiteScore
0.20
自引率
0.00%
发文量
0
期刊介绍: The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.
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