Exceptional Response to Second-Line Gemcitabine/Nab-Paclitaxel Chemotherapy in Patients With Metastatic Pancreatic Adenocarcinoma

被引:2
作者
Bukhari, Nedal [1 ,2 ]
Abdalla, Khalda [1 ]
Ibnshamsa, Fahad [1 ]
Alselwi, Waleed [1 ]
Al-Shakir, Shakir [3 ]
Alqahtani, Mohammed [4 ]
机构
[1] King Fahad Specialist Hosp, Dept Med Oncol, Dammam, Saudi Arabia
[2] Imam Abdulrahman Bin Faisal Univ, Dept Internal Med, Dammam, Saudi Arabia
[3] King Fahad Specialist Hosp, Dept Radiat Oncol, Dammam, Saudi Arabia
[4] King Fahad Specialist Hosp, Multiorgan Transplant Ctr, Dammam, Saudi Arabia
关键词
chemotherapy; nab-paclitaxel; gemcitabine; folfirinox; pancreatic cancer; CANCER; FOLFIRINOX; SURVIVAL;
D O I
10.7759/cureus.18756
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pancreatic cancer is an extremely lethal malignancy with the majority of patients presenting with advanced disease. Typically, fit patients with advanced unresectable disease are treated with chemotherapy, which comprises either first-line folfirinox (FNX) or gemcitabine/nab-paclitaxel (GNP) regimens based on level 1 evidence. To our knowledge, robust evidence for second-line GNP post FNX does not exist. We herein report four cases treated at our institute with second-line GNP. Amongst those were patients with durable responses lasting over a year, which is extremely rare in stage 4 pancreatic cancer.
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页数:9
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