Pathologic complete response of pancreatic cancer following neoadjuvant FOLFIRINOX treatment in hepatic metastasized pancreatic cancer

  • \(\textit {Introduction:}\) Pancreatic cancer is a lethal disease and often asymptomatic. Therefore, it is most often diagnosed at an advanced stage. The standard approach in a metastasized tumor stage is palliative chemotherapy. However, the prognosis remains extremely poor. \(\textit {Case Report:}\) We present the case of a patient who was diagnosed with a cancer of the head of the pancreas with hepatic metastases. After receiving palliative intended chemotherapy with the FOLFIRINOX regimen, staging computed tomography revealed the disappearance of the liver metastases and local resectability of the pancreatic head tumor. The patient underwent an uneventful Whipple's procedure. Surprisingly, pathohistological investigation revealed a complete pathological response. \(\textit {Conclusion:}\) Pathological complete response after FOLFIRINOX treatment in hepatic metastasized pancreatic cancer is extremely rare. It enables surgical resection and increases the survival rate significantly.

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Metadaten
Author:Andreas Minh LuuORCiDGND, Philipp HöhnORCiDGND, Sina Rabea VogelGND, Anke Claudia Reinacher-SchickORCiDGND, Johanna Barbara MundingGND, Waldemar UhlORCiDGND, Chris BraumannORCiDGND
URN:urn:nbn:de:hbz:294-82767
DOI:https://doi.org/10.1159/000497827
Parent Title (English):Visceral medicine
Publisher:Karger
Place of publication:Basel
Document Type:Article
Language:English
Date of Publication (online):2021/08/11
Date of first Publication:2019/04/03
Publishing Institution:Ruhr-Universität Bochum, Universitätsbibliothek
Tag:FOLFIRINOX; Hepatic metastases; Pancreatic cancer; Pathologic complete response; ypT0
Volume:35
Issue:6
First Page:387
Last Page:390
Note:
Dieser Beitrag ist aufgrund einer konsortialen Lizenz frei zugänglich.
Institutes/Facilities:St. Josef-Hospital Bochum, Klinik für Allgemein- und Viszeralchirurgie
St. Josef-Hospital Bochum, Medizinischen Klinik I, Abteilung für Hämatologie, Onkologie und Palliativmedizin
open_access (DINI-Set):open_access
Licence (German):License LogoKonsortiale Lizenz