Squamous cell carcinoma of the anus successfully treated with multidisciplinary therapy for metachronous metastatic and local recurrences after DCF chemotherapy : a case report

© 2024. The Author(s)..

BACKGROUND: Docetaxel, cisplatin, and 5-fluorouracil (DCF) chemotherapy is reportedly an effective treatment strategy for squamous cell carcinoma of the anus (SCCA). However, studies regarding its use in Japanese patients remain scarce.

CASE PRESENTATION: Here, we present the case of an 82-year-old woman with SCCA, cStage IIIB. Chemoradiotherapy was initiated after colostomy of the anorectal mass; however, para-aortic lymph node recurrence was observed 3 months after treatment completion. Five courses of DCF chemotherapy were subsequently administered, resulting in a complete response (CR). Two years and 1 month later, the aortic lymph node was enlarged again, and the patient achieved CR again after radiotherapy. Nine months later, local recurrence was detected in the anal canal, and laparoscopic perineal rectal amputation was performed. The patient remains progression-free 5 years and 10 months after the initial treatment and 1 year and 7 months after the final treatment.

CONCLUSIONS: Our findings suggest that complementary treatment after DCF chemotherapy may be efficacious in Japanese patients with SCCA and help achieve CR. Despite occasional local recurrences, this approach may help achieve long-term progression-free survival.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Surgical case reports - 10(2024), 1 vom: 25. März, Seite 71

Sprache:

Englisch

Beteiligte Personen:

Naito, Ryozan [VerfasserIn]
Shiraishi, Takuya [VerfasserIn]
Hosoi, Nobuhiro [VerfasserIn]
Watanabe, Takayoshi [VerfasserIn]
Shioi, Ikuma [VerfasserIn]
Shibasaki, Yuta [VerfasserIn]
Nakazawa, Nobuhiro [VerfasserIn]
Osone, Katsuya [VerfasserIn]
Okada, Takuhisa [VerfasserIn]
Sano, Akihiko [VerfasserIn]
Sakai, Makoto [VerfasserIn]
Ogawa, Hiroomi [VerfasserIn]
Sohda, Makoto [VerfasserIn]
Shirabe, Ken [VerfasserIn]
Saeki, Hiroshi [VerfasserIn]

Links:

Volltext

Themen:

5-Fluorouracil
Cisplatin
Docetaxel
Journal Article
Squamous cell carcinoma of the anus

Anmerkungen:

Date Revised 28.03.2024

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1186/s40792-024-01873-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370162706