Chemotherapeutic management of small bowel adenocarcinoma associated with Crohn's disease.
JOURNAL OF CHEMOTHERAPY(2013)
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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