CLINICAL CASE

Multidisciplinary approach to treatment of a patient with unresectable metastatic liver lesion spawned by HER2+ gastric adenocarcinoma giving

Kolomiets KV, Isaev IV, Kovalev VV, Grishchenko NV, Kokovihina DI, Morozova AA, Torosyan AR, Shashkova VV, Snegireva PV
About authors

Rostov State Medical University of the Ministry of Health of the Russian Federation, Rostov-on-Don, Russia

Correspondence should be addressed: Karina V. Kolomiets
Krasnoarmeyskaya, 198, Novocherkassk, 346400, Russia; ur.liam@99_steimolok_anirak

About paper

Author contribution: Kolomiets KV — article authoring, editing; Isaev IV, Snegireva PV — article authoring, literature review, data analysis; Kovalev VV, Grishchenko NV — article authoring, literature review, data collection; Kokovikhina DI, Morozova AA — article authoring, literature review, study concept and design; Torosyan AR, Shashkova VV — article authoring, literature review, article revision.

Compliance with ethical standards: the patient has signed a voluntary informed consent to publication of anonymized medical information.

Received: 2023-06-27 Accepted: 2023-08-12 Published online: 2023-08-29
|

In 85% of patients worldwide, gastric cancer (GC) metastasizes from the very beginning or within three years. In 30–50% of cases, metastases, both synchronous and metachronous, grow into liver. Multifocal liver metastases translate into an unfavorable prognosis: the median survival period is 10–15 months, with less than 10% of the patients surviving past three years. In such cases, the palliative treatment option is systemic chemotherapy. Combined with immunotherapy, transarterial chemoembolization (TACE), a relatively new method of local treatment of metastatic foci, offer new options of combating liver metastases. This work presents a clinical case of application of this combination coupled with chemotherapy to treat a patient with unresectable liver metastases spawned by HER2+ gastric adenocarcinoma. From the day of diagnosis, the patient's life expectancy was 42 months.

Keywords: immunotherapy, gastric cancer, chemotherapy, liver metastases of gastric cancer, transarterial chemoembolization

КОММЕНТАРИИ (0)