Chemotherapeutic management of small bowel adenocarcinoma associated with Crohn's disease.

H W Bruckner,V R Hrehorovich, H S Sawhney, S I Meeus, A M Coopeman

JOURNAL OF CHEMOTHERAPY(2013)

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Abstract
Four patients with metastatic primary small bowel adenocarcinoma associated with Crohn's disease were successfully treated with low dose combination chemotherapy consisting of 5-fluorouracil, leucovorin and irinotecan with or without gemcitabine. Benefits included prolonged survival, objective responses, response of resistant tumors, downstaging, and a successful secondary complete resection (Ro) with a durable remission.
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Key words
small bowel adenocarcinoma,Crohn's disease,chemotherapy,irinotecan,Gemcitabine,resistance,fluorouracil,resection,downstaging,anastomotic recurrence,salvage (secondary) chemotherapy
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