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題名 | Immunochemotherapy in Advanced Renal Cell Carcinoma with Bone Metastasis=腎臟細胞癌合併骨轉移的免疫化學治療 |
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作者姓名(中文) | 陳景亮; 劉嘉鴻; 郭漢崇; | 書刊名 | 慈濟醫學 |
卷期 | 18:4 民95.08 |
頁次 | 頁299-303+331 |
分類號 | 416.273 |
關鍵詞 | 腎臟細胞癌; 拒色型; 免疫化學治療; 骨骼轉移; Renal cell carcinoma; Chromophobe; Immunochemotherapy; Bone metastasis; |
語文 | 英文(English) |
中文摘要 | 這是一位53歲女性因右側腎臟癌接受根治性腎臟切除術,手術後病理分期為第三期,細胞分類為拒色型(Chromophobe)。6個月後發現有後腹腔、肺部以及骨骼癌症轉移。與病人討論後給予免疫化學治療,包含vinblastine、interleukin-2、interferon alpha-2a。在連續六期治療後病人得到症狀以及影像學上部分的緩解。從當初遠端癌症轉移被發現經過免疫化學治療迄今已有二十九個月,但病情在治療二十二個月後再度惡化。在治療當中,僅有輕微的副作用如噁心、嘔吐、關節疼痛、皮膚紅疹以及輕微發燒(<39℃)的發生。 |
英文摘要 | Distant metastasis to the bone was noted in a 54-year-old woman with stage Ⅲb chromophobe renal cell carcinoma 6 months after a radical nephrectomy. She received 6 courses of immunochemotherapy with a regimen of vinblastine, interleukin-2 and interferon alpha-2a. The result of immunochemotherapy was remarkable and partial remission is noted with improvement in the clinical pain symptom and imaging study. The disease progresses 22 months after the beginning of the immunochemotherapy. Mild adverse effects such as nausea, vomiting, arthralgia, fever (<39℃) and skin rash developed during the treatment. |
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