演題抄録

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第56回・2018年・横浜
 

神経内分泌癌・腫瘍の化学療法で制御できた膵神経内分泌腫瘍の1例

演題番号 : P110-6

[筆頭演者]
演者)陳 豫:1 
[共同演者]
佐藤 温:1、高畑 武功:1、蓮井 研悟:1

1:弘前大学・腫瘍内科

 

A 40-year-old woman was admitted to our department with fullness in the upper abdomen. Abdominal Ultrasonography, Computerized tomography and magnetic resonance showed a pancreatic tumor (12cm), multi-liver tumors, bone metastasis and swelling lymph nodes in para-aortic area. EUS-FNA from pancreatic tumor showed the neuroendocrine carcinoma and acknowledged findings of ki-67>20% , 3/10 HPF of mitotic counts pathologically. It is controlled by octreotide LAR 30mg/day once a month and the following chemotherapy: platinum-based regimen (TTP: 7.8 months) in 1st line, Streptozotocin/5-fluorouracil (TTP: 7.9 months) in 2nd line, 3rd line Eberolimus (TTP: 2.8 months) in 3rd line, Sunitinib in 4th line. TAE(transcatheter arterial embolization) twice make several advanced multi-liver metastases shrinked. We report the case that the treatment of NET and NEC is effective for pancreatic neuroendocrine neoplasm.

キーワード

臓器別:NET(神経内分泌腫瘍)

手法別:化学療法

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