Gan to kagaku ryoho. Cancer & chemotherapy · 2021
[Two Cases of Locally Advanced Colorectal Cancer Involving Pathological Complete Response after Chemotherapy].
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Rikiyama Naoki, Sato Hideaki, Hotchi Shota, Goh KengWee, Sato Ami, Akishige Naoki, Noguchi Aya, Aoki Yasutaka, Sato Jun, Kikuchi Daisuke, Ii Takayuki, Yamanami Hideaki
Аннотация
We report 2 cases of locally advanced colorectal cancer in which complete response(CR)was achieved after chemotherapy. Case 1 involved a 71-year-old male diagnosed with rectal cancer invading the bladder. Chemotherapy with SOX plus bevacizumab and IRIS plus bevacizumab was administered for rectal cancer. Post-chemotherapy, the disease showed clinical CR(cCR)according to the Response Evaluation Criteria in Solid Tumors(RECIST). A laparoscopic abdominoperineal resection was then performed, with pathological findings showing no viable cancer cells. Eleven months postoperatively, the patient remains alive without disease recurrence. Case 2 involved a 54-year-old female diagnosed with a peritoneal abscess resulting from perforated sigmoid colon cancer. She received chemotherapy with SOX plus bevacizumab. Post-chemotherapy, the disease showed cCR according to the RECIST. A sigmoidectomy was performed, with pathological findings showing no viable cancer cells. Ten months postoperatively, the patient remains alive without disease recurrence. We believe that neoadjuvant chemotherapy is a feasible treatment option for locally advanced colorectal cancer.