One patient with metastastic colorectal cancer successfully treated by combination of targeted agents after failure of chemotherpay
摘要Either cetuximab or bevacizumab can improve the suwival of patients with metastastic coloractal cancer (mCRC) if administered combided with cytotoxic agents. However, the effect of two or more target agents in combination is uncertain in these patients. Here, we reported a patient with mCRC successfully treated by a combination of target agents after the failure of chemotherapy. The patient received palliative resection of primary tumor followed by 9 cycles of postoperative XELOX regimen, cytokine-induced killer cell (CIK)-based btotherapy, traditional Chinese medicine, particle implantation in the lung metastatic lesions. The tumor progressed 20 months after the standard treatments. Then, the regimen cetuximab, bevacizumab and cefitinib was applied. During the treatment with targeted agents, grade Ⅳ acne-like rash and relatively severn parionychia of the toes occurred. Both of them recovered smoothly. The PET-CT reexamination et 40 days after the target treatment showed that the metabolism of mediastinal lymph nodes basically recovered to a normal level. The combination of multiple targeted agents obtained a progression-fres survival (PFS) of 11 months and the patient with a good quality of life during this period.
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