AI Article Synopsis

  • * A specific case is discussed where a patient with intrahepatic cholangiocarcinoma experienced lymphatic recurrence post-surgery and adjuvant therapy but responded exceptionally well to a combination of Opdivo (nivolumab), chemotherapy, and hyperthermia.
  • * The patient achieved a complete response with no further lymph node metastasis and a significant drop in tumor marker CA 19-9, indicating the potential effectiveness of combining different therapies in treating this challenging cancer type.

Article Abstract

Cholangiocarcinoma is a malignancy known for its aggressiveness and limited treatment options. The malignant tumor behaviors include intrahepatic recurrence, regional lymph node (LN) metastasis, peritoneal carcinomatosis, and lung metastasis. Herein, we reported a case of lymphatic recurrence in an intrahepatic cholangiocarcinoma patient after surgery, adjuvant concurrent chemoradiotherapy (CCRT), who experienced a remarkable response to a combination therapy. However, the patient failed to undergo radiotherapy or other invasive local therapy and therefore received Opdivo (nivolumab) in combination with chemotherapy (FOLFOX) and modulated electro-hyperthermia. Notably, after these medical interventions, this patient had a complete response (CR) to treatments, in which no lymph node metastasis occurred, and a significantly decreased tumor marker, CA 19-9, level was found. This case highlights the potential of multiple anti-tumor therapies, including immune checkpoint inhibitors, chemotherapy, and hyperthermia, in managing challenging cholangiocarcinoma cases.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540691PMC
http://dx.doi.org/10.3389/fonc.2024.1421340DOI Listing

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