内容紹介
A Case of Rectal Cancer with Lymphangiosis Carcinomatosa Successfully Treated with Chemotherapy Despite Anaphylactic Reaction to Oxaliplatin
Summary
A 64-year-old man was admitted because of dyspnea. He was diagnosed with rectal cancer with lymphangiosis carcinomatosa and metastases in the liver and lymph nodes. The patient was treated with cetuximab and modified FOLFOX6(mFOLFOX6). After treatment, the primary rectal cancer and metastases were considered to have achieved a partial response(PR)and the lymphangiosis carcinomatosa remarkably improved. However, anaphylactic shock occurred in the 6 courses of treatment, 5 minutes after the infusion of oxaliplatin, and the patient was treated.
要旨
症例は64歳,男性。主訴は咳嗽。精査で直腸癌,癌性リンパ管症,多発リンパ節転移,肝転移の診断となり,mFOLFOX6+セツキシマブを開始。2コース終了後に咳嗽と癌性リンパ管症は改善し,4コース終了後の効果判定はpartial response(PR)であった。6コース目のオキサリプラチン投与開始後5分でアナフィラキシーショックを認め,対症療法で改善した。
目次
Summary
A 64-year-old man was admitted because of dyspnea. He was diagnosed with rectal cancer with lymphangiosis carcinomatosa and metastases in the liver and lymph nodes. The patient was treated with cetuximab and modified FOLFOX6(mFOLFOX6). After treatment, the primary rectal cancer and metastases were considered to have achieved a partial response(PR)and the lymphangiosis carcinomatosa remarkably improved. However, anaphylactic shock occurred in the 6 courses of treatment, 5 minutes after the infusion of oxaliplatin, and the patient was treated.
要旨
症例は64歳,男性。主訴は咳嗽。精査で直腸癌,癌性リンパ管症,多発リンパ節転移,肝転移の診断となり,mFOLFOX6+セツキシマブを開始。2コース終了後に咳嗽と癌性リンパ管症は改善し,4コース終了後の効果判定はpartial response(PR)であった。6コース目のオキサリプラチン投与開始後5分でアナフィラキシーショックを認め,対症療法で改善した。