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Gan To Kagaku Ryoho ; 45(1): 181-183, 2018 Jan.
Article in Japanese | MEDLINE | ID: mdl-29362348

ABSTRACT

A 62-year-old man was underwent sigmoidectomy for sigmoid colon cancer(T3N1H0P0, Stage III a). He received a postoperative systemic chemotherapy with SOX. Five months after the operation, multiple liver metastases were detected by CT scan. Systemic chemotherapy(bevacizumab and SOX, bevacizumab and FOLFIRI)did not reduce the liver metastases. So 4 courses of hepatic arterial infusion(HAI)chemotherapy with CDDP 10mg/day and 5-FU 500mg/day for 2weeks were performed without severe adverse events. All the liver metastases decreased in size remarkably, and the hepatic resection was able to be performed. We think HAI chemotherapy is one of the useful options for resistance to systemic chemotherapy for liver metastases from colorectal cancer.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Drug Resistance, Neoplasm , Liver Neoplasms/drug therapy , Sigmoid Neoplasms/drug therapy , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Combined Modality Therapy , Hepatic Artery , Humans , Infusions, Intra-Arterial , Liver Neoplasms/secondary , Liver Neoplasms/surgery , Male , Middle Aged , Sigmoid Neoplasms/pathology , Sigmoid Neoplasms/surgery
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