Response to Capecitabine Treatment Following Palliative Chemotherapy for Metastatic Colorectal Cancer: A Case Report

고식적 항암화학요법 후에 Capecitabine 단독치료에 반응을 보인 전이성 대장암 환자 1례

  • Dae Hwa Park (Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Chungnam National University) ;
  • Ju Seok Kim (Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Chungnam National University) ;
  • Sun Hyung Kang (Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Chungnam National University) ;
  • Hee Seok Moon (Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Chungnam National University) ;
  • Jae Kyu Sung (Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Chungnam National University) ;
  • Hyun Yong Jeong (Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Chungnam National University)
  • 박대화 (충남대학교 의과대학 내과학교실 소화기내과) ;
  • 김주석 (충남대학교 의과대학 내과학교실 소화기내과) ;
  • 강선형 (충남대학교 의과대학 내과학교실 소화기내과) ;
  • 문희석 (충남대학교 의과대학 내과학교실 소화기내과) ;
  • 성재규 (충남대학교 의과대학 내과학교실 소화기내과) ;
  • 정현용 (충남대학교 의과대학 내과학교실 소화기내과)
  • Received : 2017.05.16
  • Accepted : 2017.06.13
  • Published : 2017.06.30

Abstract

Approximately 40% of patients with colorectal cancer have metastatic lesions at the time of diagnosis, and chemotherapy is generally prescribed for these patients. Though several drugs are used, 5-FU has long been the backbone of chemotherapy for colorectal cancer. Capecitabine is an oral 5-FU prodrug approved by the FDA in 2005 and is used alone or in combination for treatment of colorectal cancer. Recently, capecitabine has been used for a number of off-label indications, including the treatment of advanced or metastatic colorectal cancer. Here, we report a rare case of a 59-year-old woman, diagnosed with metastatic colorectal cancer who first presented with abdominal discomfort and dyspepsia. She showed a partial response to palliative first line FOLFOX chemotherapy, which had to be stopped due to peripheral neuropathy, as a side effect. She was next put on a second line chemotherapy regimen with capecitabine alone, since then she showed good treatment response without any disease progression.

대장암의 치료에 여러 약물이 사용되지만, 5-FU는 오랫동안 대장암의 항암치료의 근간이 되고 있다. Capecitabine은 경구 복용하는 5-FU의 전구체로서, 최근 전이성 대장암의 치료에 사용이 증가되고 있는 약물이다. 저자들은 전이성 대장암 환자에서 고식적인 항암화학요법으로 1차 치료로서 FOLFOX에 좋은 반응을 보였으나, 부작용으로 중단 후 2차 치료로서 Capecitabine 단독요법만을 시행하였음에도 지속적으로 좋은 반응을 보이며 추적관찰하고 있는 사례를 문헌고찰과 함께 보고하는 바이다.

Keywords

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