内容紹介
An Autopsy of G-CSF-Producing Anaplastic Carcinoma of the Pancreas with Impaired Accumulation on FDG-PET after S-1 Chemotherapy
Summary
This paper presents a woman in her 70's with G-CSF producing anaplastic carcinoma of the pancreas(StageⅣb)who underwent chemotherapy by S-1 alone. On FDG-PET after the first course, accumulation of FDG was impaired remarkably. After the second course, the patient died of carcinomatous pleuritis and peritonitis on the 88th day after initiation of treatment. G-CSF producing anaplastic carcinoma of the pancreas is extremely rare and there are no reports with regard to response evaluation by FDG-PET. Thus, this case has significant clinical value.
要旨
症例は70歳台,女性。G-CSF産生退形成性膵癌(StageⅣb)と診断し,S-1療法(S-1 alone)を行った。1コース後のFDG-PETで,病変のFDG集積は化学療法前に比べ著明に低下していた。S-1療法2コース後,治療開始88日目に癌性胸腹膜炎で死亡した。G-CSF産生退形成性膵癌は極めてまれで,FDG-PETによるS-1療法の効果判定を行った報告はなく,貴重な症例と考えられた。
目次
Summary
This paper presents a woman in her 70's with G-CSF producing anaplastic carcinoma of the pancreas(StageⅣb)who underwent chemotherapy by S-1 alone. On FDG-PET after the first course, accumulation of FDG was impaired remarkably. After the second course, the patient died of carcinomatous pleuritis and peritonitis on the 88th day after initiation of treatment. G-CSF producing anaplastic carcinoma of the pancreas is extremely rare and there are no reports with regard to response evaluation by FDG-PET. Thus, this case has significant clinical value.
要旨
症例は70歳台,女性。G-CSF産生退形成性膵癌(StageⅣb)と診断し,S-1療法(S-1 alone)を行った。1コース後のFDG-PETで,病変のFDG集積は化学療法前に比べ著明に低下していた。S-1療法2コース後,治療開始88日目に癌性胸腹膜炎で死亡した。G-CSF産生退形成性膵癌は極めてまれで,FDG-PETによるS-1療法の効果判定を行った報告はなく,貴重な症例と考えられた。