Two Cases of Long-Term Survival of Advanced Colorectal Cancer with Synchronous Lung Metastases Treated with mFOLFOX6/XELOX + Bevacizumab

Background: Colorectal cancer (CRC) with lung metastases has an unfavorable prognosis. However, nowadays, even advanced CRC can have a favorable outcome in certain cases. A complete response (CR) is a rare event in advanced CRC with lung metastases. Herein, we report 2 rare cases of advanced CRC att...

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Main Authors: Yuta Ushida, Eiji Shinozaki, Keisho Chin, Mitsukuni Suenaga, Daisuke  Takahari, Masato Ozaka, Mariko Ogura, Takashi Ichimura, Takeru Wakatsuki, Kensei Yamaguchi
Format: Article
Language:English
Published: Karger Publishers 2018-08-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/492568
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author Yuta Ushida
Eiji Shinozaki
Keisho Chin
Mitsukuni Suenaga
Daisuke  Takahari
Masato Ozaka
Mariko Ogura
Takashi Ichimura
Takeru Wakatsuki
Kensei Yamaguchi
author_facet Yuta Ushida
Eiji Shinozaki
Keisho Chin
Mitsukuni Suenaga
Daisuke  Takahari
Masato Ozaka
Mariko Ogura
Takashi Ichimura
Takeru Wakatsuki
Kensei Yamaguchi
author_sort Yuta Ushida
collection DOAJ
description Background: Colorectal cancer (CRC) with lung metastases has an unfavorable prognosis. However, nowadays, even advanced CRC can have a favorable outcome in certain cases. A complete response (CR) is a rare event in advanced CRC with lung metastases. Herein, we report 2 rare cases of advanced CRC attaining a CR. Case Presentation: Case 1 was a 58-year-old man who underwent laparoscopic ileocecal resection for cecum cancer with multiple metastases to the lungs in 2011. We performed treatment with mFOLFOX6 and bevacizumab chemotherapy in August 2011. After 11 courses, computed tomography (CT) revealed a CR to chemotherapy in February 2012. He has remained disease-free for 5 years and 3 months. Case 2 was a 70-year-old woman who underwent laparoscopic ileocecal resection for cecum cancer in August 2010. Recurrence of multiple metastases to both lungs was detected in November 2010. We started treatment with XELOX and bevacizumab chemotherapy in January 2011. In January 2011, CT after 14 courses revealed disappearance of the lung lesions, thereby indicating a CR. She has remained disease-free for 5 years and 4 months. Conclusion: We encountered 2 patients with CRC with lung metastases who were treated with chemotherapy leading to a CR. Cases resulting in such a desirable outcome are extremely rare.
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spelling doaj.art-de2e4de53b094e818ba71695fdf17ada2022-12-22T01:31:05ZengKarger PublishersCase Reports in Oncology1662-65752018-08-0111260160810.1159/000492568492568Two Cases of Long-Term Survival of Advanced Colorectal Cancer with Synchronous Lung Metastases Treated with mFOLFOX6/XELOX + BevacizumabYuta UshidaEiji ShinozakiKeisho ChinMitsukuni SuenagaDaisuke  TakahariMasato OzakaMariko OguraTakashi IchimuraTakeru WakatsukiKensei YamaguchiBackground: Colorectal cancer (CRC) with lung metastases has an unfavorable prognosis. However, nowadays, even advanced CRC can have a favorable outcome in certain cases. A complete response (CR) is a rare event in advanced CRC with lung metastases. Herein, we report 2 rare cases of advanced CRC attaining a CR. Case Presentation: Case 1 was a 58-year-old man who underwent laparoscopic ileocecal resection for cecum cancer with multiple metastases to the lungs in 2011. We performed treatment with mFOLFOX6 and bevacizumab chemotherapy in August 2011. After 11 courses, computed tomography (CT) revealed a CR to chemotherapy in February 2012. He has remained disease-free for 5 years and 3 months. Case 2 was a 70-year-old woman who underwent laparoscopic ileocecal resection for cecum cancer in August 2010. Recurrence of multiple metastases to both lungs was detected in November 2010. We started treatment with XELOX and bevacizumab chemotherapy in January 2011. In January 2011, CT after 14 courses revealed disappearance of the lung lesions, thereby indicating a CR. She has remained disease-free for 5 years and 4 months. Conclusion: We encountered 2 patients with CRC with lung metastases who were treated with chemotherapy leading to a CR. Cases resulting in such a desirable outcome are extremely rare.https://www.karger.com/Article/FullText/492568Colorectal cancerComplete responseLong-term survivalBevacizumabLung metastasis
spellingShingle Yuta Ushida
Eiji Shinozaki
Keisho Chin
Mitsukuni Suenaga
Daisuke  Takahari
Masato Ozaka
Mariko Ogura
Takashi Ichimura
Takeru Wakatsuki
Kensei Yamaguchi
Two Cases of Long-Term Survival of Advanced Colorectal Cancer with Synchronous Lung Metastases Treated with mFOLFOX6/XELOX + Bevacizumab
Case Reports in Oncology
Colorectal cancer
Complete response
Long-term survival
Bevacizumab
Lung metastasis
title Two Cases of Long-Term Survival of Advanced Colorectal Cancer with Synchronous Lung Metastases Treated with mFOLFOX6/XELOX + Bevacizumab
title_full Two Cases of Long-Term Survival of Advanced Colorectal Cancer with Synchronous Lung Metastases Treated with mFOLFOX6/XELOX + Bevacizumab
title_fullStr Two Cases of Long-Term Survival of Advanced Colorectal Cancer with Synchronous Lung Metastases Treated with mFOLFOX6/XELOX + Bevacizumab
title_full_unstemmed Two Cases of Long-Term Survival of Advanced Colorectal Cancer with Synchronous Lung Metastases Treated with mFOLFOX6/XELOX + Bevacizumab
title_short Two Cases of Long-Term Survival of Advanced Colorectal Cancer with Synchronous Lung Metastases Treated with mFOLFOX6/XELOX + Bevacizumab
title_sort two cases of long term survival of advanced colorectal cancer with synchronous lung metastases treated with mfolfox6 xelox bevacizumab
topic Colorectal cancer
Complete response
Long-term survival
Bevacizumab
Lung metastasis
url https://www.karger.com/Article/FullText/492568
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