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