AI Article Synopsis

  • - A 57-year-old man and a 70-year-old woman both developed resectable liver metastases after having surgeries for rectal cancer; their conditions were identified through CT scans.
  • - Both patients underwent neoadjuvant chemotherapy—mFOLFOX6 and FOLFIRI for the man, and SOX for the woman—alongside bevacizumab, leading to partial responses according to RECIST.
  • - Following chemotherapy, both patients had successful liver surgeries with no viable cancer cells found in pathology reports, and both are currently alive without recurrence, demonstrating the potential effectiveness of neoadjuvant chemotherapy for liver metastases.

Article Abstract

A 57-year-old male, who had received a laparoscopic low anterior resection for rectal cancer 12 months ago, was diagnosed a resectable liver metastasis from rectal cancer by computed tomography(CT). Neoadjuvant chemotherapy with mFOLFOX6 plus bevacizumab and FOLFIRI plus bevacizumab was performed for liver metastasis. After neoadjuvant chemotherapy, partial response(PR)was proved on the Response Evaluation Criteria in Solid Tumors(RECIST)and partial resection of the liver was conducted. Pathological findings showed no viable cancer cells. He is alive without recurrence 5 years after the surgery. A 70-year-old female, who had received a laparoscopic high anterior resection for rectal cancer 17 months ago, was diagnosed a resectable liver metastasis from rectal cancer by CT. SOX plus bevacizumab was performed for liver metastasis. After neoadjuvant chemotherapy, PR was proved on the RECIST and right hepatic lobectomy was performed. Pathological findings showed no viable cancer cells and she is alive without recurrence 4 years after the surgery. We expected neoadjuvant chemotherapy for resectable liver metastasis might be an option of treatment.

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