贝伐单抗联合紫杉醇和卡铂作为第 4 期卵巢癌的新辅助化疗--病例报告

Celia Thomas, Abdul Malik
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摘要

卵巢癌是女性第五大常见肿瘤,给诊断和治疗带来了挑战,由于确诊时已是晚期,治疗方案有限,往往导致预后不良。以铂类为基础的化疗和手术一直是主要的治疗方法,但使用其他细胞毒性药物来改善治疗效果的努力结果不一。血管生成在肿瘤生长和转移中起着至关重要的作用,因此贝伐单抗(一种针对血管内皮生长因子(VEGF)的单克隆抗体)应运而生。临床试验证明,贝伐珠单抗能有效延缓卵巢癌的病情进展。本病例报告说明了在一名晚期卵巢癌患者身上成功使用新辅助化疗后进行手术以及贝伐单抗和奥拉帕利维持治疗的情况,突出了这种治疗方法在改善生存预后方面的潜在优势。
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Bevacizumab with Paclitaxel and Carboplatin as Neo Adjuvant Chemotherapy for Stage 4 Ovarian Cancer- Case Report
Ovarian cancer, the fifth most common neoplasia in women, presents challenges in diagnosis and treatment, often resulting in poor prognosis due to advanced stage at diagnosis and limited treatment options. Platinum-based chemotherapy and surgery have been the mainstay treatments, but efforts to improve outcomes with additional cytotoxic drugs have yielded mixed results. Angiogenesis plays a crucial role in tumor growth and metastasis, leading to the investigation of bevacizumab, a monoclonal antibody targeting vascular endothelial growth factor (VEGF). Clinical trials have demonstrated its efficacy in delaying disease progression in ovarian cancer. This case report illustrates the successful use of neoadjuvant chemotherapy followed by surgery and maintenance therapy with bevacizumab and olaparib in a patient with advanced ovarian cancer, highlighting the potential benefits of this treatment approach in improving survival outcomes.
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