• Internal medicine · Aug 2021

    Case Reports

    Multiple-line Chemotherapy for a Patient with Unresectable Mucinous Cystic Neoplasm of the Pancreas.

    • Haruo Miwa, Kazuya Sugimori, Tomohiro Ishii, Akihiro Funaoka, Hiromi Tsuchiya, Yoshimasa Suzuki, Makoto Sugimori, Masaki Nishimura, Yuichiro Tozuka, Satoshi Komiyama, Takeshi Sato, Takashi Kaneko, Kazushi Numata, and Shin Maeda.
    • Gastroenterological Center, Yokohama City University Medical Center, Japan.
    • Intern. Med. 2021 Aug 15; 60 (16): 2607-2612.

    AbstractA 74-year-old woman with a cyst in her pancreatic tail was referred to our hospital. Computed tomography confirmed a large cystic lesion with irregular wall thickening, abdominal lymph node swelling, and ascites. We diagnosed her with an unresectable mucinous cystic neoplasm, since ascites cytology revealed adenocarcinoma. The patient received chemotherapy up to the fifth line for 55.2 months. Gemcitabine plus nab-paclitaxel and modified FOLFIRINOX achieved a partial response with a progression-free survival time of 12.1 and 20.4 months, respectively. The overall survival time from the beginning of first-line chemotherapy was 69.4 months.

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