实用肿瘤杂志2018,Vol.33Issue(2):95-102,8.
HER2阳性晚期胃癌患者MDT诊治报道一例
MDT diagnosis and treatment of a case of HER2-positive advanced stage gastric cancer
摘要
Abstract
This article describes the process of multi-disciplinary diagnosis and treatment of a HER2-positive advanced stage gastric cancer.The patient was diagnosed as advanced stage gastric cancer with multiple unresectable metastases in the neck,abdominal and mediastinal lymph nodes at the time of initial diagnosis.After multidisciplinary discussion,the patient received first-line chemotherapy combined with trastuzumab treatment,second-line chemotherapy combined with brain metastases radiotherapy,and third-line alternative chemotherapy regimen together with trastuzumab rechallenge and multiple other therapeutic approaches.Finally,the patient reached an overall survival of 25 months.The prognosis of patients with advanced gastric cancer is poor.Multi-disciplinary collaboration can integrate the treatment strategies,ensure that the patients have received reasonable individualized comprehensive treatment,and effectively extend the patient survival time.关键词
胃肿瘤/诊断/胃肿瘤/治疗/受体,表皮生长因子/拮抗剂和抑制剂/抗体,单克隆/治疗应用/综合疗法Key words
stomach neoplasms/diagnosis/stomach neoplasms/therapy/receptor, epidermal growth factor/antagonists & inhibitors/antibodies, monoclonal/therapeutic use/combined modality therapy分类
医药卫生引用本文复制引用
卢瑗瑗,李剑平,王新,刘娜,潘妍,李莉,张筱茵,王建宏,郑建勇,任静,赵娓娓..HER2阳性晚期胃癌患者MDT诊治报道一例[J].实用肿瘤杂志,2018,33(2):95-102,8.基金项目
国家自然科学基金(81472701,81572929) (81472701,81572929)