A Patient with Locally Advanced Pancreatic Cancer Who Refused Additional Chemotherapy

추가 항암 치료를 거부하는 국소 진행형 췌장암 환자 1례

  • Hee Seung Lee (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Moon Jae Chung (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Jeong Youp Park (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Seungmin Bang (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Seung Woo Park (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Si Young Song (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine)
  • 이희승 (연세대학교 의과대학 세브란스병원 소화기내과) ;
  • 정문재 (연세대학교 의과대학 세브란스병원 소화기내과) ;
  • 박정엽 (연세대학교 의과대학 세브란스병원 소화기내과) ;
  • 방승민 (연세대학교 의과대학 세브란스병원 소화기내과) ;
  • 박승우 (연세대학교 의과대학 세브란스병원 소화기내과) ;
  • 송시영 (연세대학교 의과대학 세브란스병원 소화기내과)
  • Received : 2016.06.15
  • Accepted : 2016.12.23
  • Published : 2016.12.31

Abstract

The prognosis for pancreatic cancer patient is very poor. Patients with locally advanced disease have a median survival time of 8 to 12 months, and patients with distant metastases have significantly worse outcomes, with a median survival time of only 3 to 6 months. Approximately 30% of patients with pancreatic cancer present with locally advanced disease defined as unresectable pancreatic cancer without evidence of distant metastatic disease. Primary treatment options in locally advanced pancreatic cancer include chemotherapy and radiotherapy. Here, we reported a patient with locally advanced pancreatic cancer who does not want further chemotherapy because of chemotherapy induced nausea and vomiting. Irreversible electroporation was performed. Irreversible electroporation was well tolerated in this case, and may be a therapeutic modality for selected patients with locally advanced pancreatic cancer.

Keywords

References

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