[논문]통합암치료를 적용한 폐전이 동반 췌장암 환자의 장기간 추적관찰 증례보고

오유나; 박경덕; 정유진; 김지수; 정범진; 방선휘

doi:10.22246/jikm.2023.44.4.765

통합암치료를 적용한 폐전이 동반 췌장암 환자의 장기간 추적관찰 증례보고
Long-Term Follow-up of Pancreatic Cancer Patients with Lung Metastasis Using Integrated Cancer Treatment: A Case Report 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.44 no.4, 2023년, pp.765 - 773

오유나 (휘림한방병원) , 박경덕 (휘림한방병원) , 정유진 (휘림한방병원) , 김지수 (휘림한방병원) , 정범진 (휘림한방병원) , 방선휘 (휘림한방병원)

Abstract ▼ AI-Helper

Objective: This long-term case report details a case of pancreatic cancer with lung metastasis suppressed by integrative cancer medicine (IMT). Methods: A 64-year-old woman diagnosed with pancreatic cancer visited a Korean medicine hospital complaining about the side effects of chemotherapy for lung metastasis. She received IMT involving Korean traditional medicine and Western immunotherapy from May 2017 to June 2023. Tumor dimensions were assessed through computed tomography (CT) and positron-emission tomography/CT scans, while tumor markers and safety were monitored by laboratory tests. Results: IMT suppressed the progression of cancer, as observed by imaging and laboratory tests. The patient achieved 5-year survival, even after discontinuing chemotherapy. Conclusion: This case presents a potential therapeutic alternative for patients who are ineligible for chemotherapy or surgical interventions.

주제어

표/그림 (6)

그림 Fig. 1. Image studies of the diagnosis. In both A-1 (magnetic resolution image) and A-2 (PET-CT), white arrows indicate the hypermetabolic mass of pancreatic cancer observed in 2015.03. In B-1 (CT) and B-2 (PET-CT), white arrows point to lung metastases identified in 2016.12.
그림 Fig. 2. Time table of the patient. CTx : chemotherapy, Dx : diagnosis, Meta : metastasis, LLL : left lower lobule
표 Table 1. The Details of Palliative Chemotherapy and Follow up Results
표 Table 2. The Details of Integrative Treatment and Follow up Results
그림 Fig. 3. Evaluation of treatment by CT scan. New metastatic masses were found on April 21, 2017 (A). Decreased extent of suspicious metastatic nodules in both lungs was found (white arrows), alongside the presence of cardiomegaly with pleural effusion on November 13, 2017 (B). Stable state of lung metastasis on April 12, 2018 (C). No interval changes of both lung metastasis on July 18, 2019 (D), May 23, 2020 (E), December 8, 2020 (F), June, 8, 2021 (G), July 4, 2022 (H) and October 10, 2022 (I).
표 Table 3. Laboratory Findings

참고문헌 (18)

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