Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of liver metastasis of colon cancer with pathological complete response after neoadjuvant chemotherapy
Keiichi SHIRASAKIYu KATAYOSEKazuyuki ISHIDANaoki MATSUMURAShinichi EGAWAMichiaki UNNO
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2012 Volume 73 Issue 3 Pages 643-647

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Abstract
The patient was a 50-year-old woman, who received a left colorectomy for decending colon cancer and multiple liver metastases. Neoadjuvant chemotherapy with mFOLFOX6 and Bevacizumab was performed for liver metastases. After neoadjuvant chemotherapy, PR was proved on the RECIST standard and left lateral sectionectomy, a partial resection of the liver and cholecystectomy was performed. Pathological findings of the S5 segment revealed no viable cancer cells. The histological effect of neoadjuvant chemotherapy was grade 3. After 8 courses of the neoadjuvant chemotherapy, the huge liver metastasis 6.5 cm in diameter, was a pathological CR. The bulky liver metastasis that had not ever been reported vanished after neoadjuvant chemotherapy. We expected that neoadjuvant chemotherapy with a molecularly targeted drug would increase the cases of resectable liver metastasis.
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© 2012 Japan Surgical Association
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