From palliative to curative treatment - stage IV mucinous adenocarcinoma, successfully treated with metronomic capecitabine in combination with Bevacizumab and surgery- a case report

BMC Cancer

Case Report

Xiao-Feng Sun¹  Bergthor Björnsson²  Thomas Gasslander²  Per Sandström²  Annika Holmqvist³  Karolina Vernmark³  Maria Albertsson³ 

[1] Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden;Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden;Departement of Surgery, Linköping University, Linköping, Sweden;Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden;Department of Oncology, Linköping University, S-58185, Linköping, Sweden;

关键词: Mucinous adenocarcinoma;    Bevacizumab;    Metronomic capecitabine;   

DOI  :  10.1186/s12885-015-1908-3

 received in 2015-03-18, accepted in 2015-11-04,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundMucinous adenocarcinoma (MAC) represents 6-19 % of all colorectal carcinoma. It is associated with poorer response to chemotherapy and chemoradiotherapy.Case presentationA 27-year-old Swedish woman presented with stomach pain and weight loss, and was diagnosed with locally advanced MAC in the transverse colon as well as 3 liver metastases. Neoadjuvant treatment with fluorouracil, folinic acid and oxaliplatin (FLOX) failed due to several infections, pulmonary embolism and deteriorated performance status. The patient was therefore considered palliative. Palliative treatment with metronomic capecitabine 500 mg × 2 daily and bevacizumab every other week were initiated. After 4 months of treatment the tumors had regressed and the patient was able to undergo radical surgery, thereby changing the treatment intention from palliative to curative. No adjuvant chemotherapy was given. There were no signs of recurrence 9 months later.ConclusionsThe role of the combination of metronomic capecitabine and bevacizumab in patients with MAC merits further investigation.

【 授权许可】

CC BY   
© Vernmark et al. 2015