Neoadjuvant immunotherapy in treatment of oligometastatic locally advanced colon cancer. Clinical case

A. Rasulov, J. Madyarov, A. E. Kulikov, Z. Rasulov, L. A. Shestakova, D. Chekini, E. K. Ibragimov, E. Puchkova, Yu. E. Lvova, R. A. Rasulov
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Abstract

Immunotherapy has improved the results of treatment of patients with metastatic colorectal cancer. According to literature, the most cancericidal effect revealed in a microsatellite instability high (MSI-H) tumors. In our case, PD-1/PD-L1/PD-L2 inhibitors (nivolumab) treatment for locally advanced MSI-H colon carcinoma with liver metastasis in 44-year-old patient resulted in tumor regression, so that R0 surgical procedure became possible. Computed tomography scan and pathology report showed complete response, in primary and metastatic tumors. As a result, this allowed to improve the quality of patient’s life.
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新辅助免疫疗法治疗少转移局部晚期结肠癌。临床病例
免疫疗法改善了转移性结直肠癌患者的治疗效果。据文献报道,在微卫星不稳定性高(MSI-H)肿瘤中显示出最大的杀癌作用。在我们的病例中,PD-1/PD-L1/PD-L2抑制剂(nivolumab)治疗44岁局部晚期MSI-H结肠癌伴肝转移患者导致肿瘤消退,因此R0手术成为可能。计算机断层扫描和病理报告显示完全缓解,在原发性和转移性肿瘤。因此,这可以改善病人的生活质量。
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