Perioperative chemotherapy with nivolumab for HER2-negative locally advanced gastric cancer: a case series

Background Nivolumab with chemotherapy has been transformative for metastatic gastric cancer (GC). The potential of this regimen for local tumor control could be utilized for perioperative chemotherapy in locally advanced GC with bulky tumors or lymph node metastasis involving other organs. Case pre...

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Veröffentlicht in:Surgical Case Reports 2024-08, Vol.10 (1), p.200, Article 200
Hauptverfasser: Toji, Yuta, Takeuchi, Shintaro, Ebihara, Yuma, Kurashima, Yo, Harada, Kazuaki, Hayashi, Mariko, Abe, Hirotake, Wada, Hideyuki, Yorinaga, Satoko, Shichinohe, Toshiaki, Tomaru, Utano, Komatsu, Yoshito, Hirano, Satoshi
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container_issue 1
container_start_page 200
container_title Surgical Case Reports
container_volume 10
creator Toji, Yuta
Takeuchi, Shintaro
Ebihara, Yuma
Kurashima, Yo
Harada, Kazuaki
Hayashi, Mariko
Abe, Hirotake
Wada, Hideyuki
Yorinaga, Satoko
Shichinohe, Toshiaki
Tomaru, Utano
Komatsu, Yoshito
Hirano, Satoshi
description Background Nivolumab with chemotherapy has been transformative for metastatic gastric cancer (GC). The potential of this regimen for local tumor control could be utilized for perioperative chemotherapy in locally advanced GC with bulky tumors or lymph node metastasis involving other organs. Case presentation Five patients with HER2-negative advanced GC were treated with nivolumab and oxaliplatin-based chemotherapy. All patients presented with clinical stage III or IVA GC with tumors in contact with either the pancreas or liver. Following chemotherapy, all tumors demonstrated shrinkage, allowing successful radical gastrectomies including four minimally invasive approach without postoperative complications. Four patients avoided combined resection of other organs. Conclusions Perioperative chemotherapy with nivolumab was effective for local disease control in this case series. This regimen could be a promising treatment approach for locally advanced GC; however, its survival benefits should be evaluated in clinical trials.
doi_str_mv 10.1186/s40792-024-02001-w
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The potential of this regimen for local tumor control could be utilized for perioperative chemotherapy in locally advanced GC with bulky tumors or lymph node metastasis involving other organs. Case presentation Five patients with HER2-negative advanced GC were treated with nivolumab and oxaliplatin-based chemotherapy. All patients presented with clinical stage III or IVA GC with tumors in contact with either the pancreas or liver. Following chemotherapy, all tumors demonstrated shrinkage, allowing successful radical gastrectomies including four minimally invasive approach without postoperative complications. Four patients avoided combined resection of other organs. Conclusions Perioperative chemotherapy with nivolumab was effective for local disease control in this case series. This regimen could be a promising treatment approach for locally advanced GC; however, its survival benefits should be evaluated in clinical trials.</description><identifier>ISSN: 2198-7793</identifier><identifier>EISSN: 2198-7793</identifier><identifier>DOI: 10.1186/s40792-024-02001-w</identifier><identifier>PMID: 39192090</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cancer ; Cancer therapies ; Care and treatment ; Case Report ; Case reports ; Cell death ; Chemotherapy ; Classification ; Epidermal growth factor ; Gastric cancer ; Hormone replacement therapy ; Ligands ; Liver ; Liver cancer ; Lymphatic system ; Medicine ; Medicine &amp; Public Health ; Metastasis ; Pancreaticoduodenectomy ; Patients ; Stomach cancer ; Surgery ; Tumors</subject><ispartof>Surgical Case Reports, 2024-08, Vol.10 (1), p.200, Article 200</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>COPYRIGHT 2024 Springer</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c423t-7fa7eae68a45e2884cbc3cb9d89f1922460a2f59021d885bde5454ea059005bb3</cites><orcidid>0000-0001-7299-2342</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11349963/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11349963/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,41120,41488,42189,42557,51319,51576,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39192090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Toji, Yuta</creatorcontrib><creatorcontrib>Takeuchi, Shintaro</creatorcontrib><creatorcontrib>Ebihara, Yuma</creatorcontrib><creatorcontrib>Kurashima, Yo</creatorcontrib><creatorcontrib>Harada, Kazuaki</creatorcontrib><creatorcontrib>Hayashi, Mariko</creatorcontrib><creatorcontrib>Abe, Hirotake</creatorcontrib><creatorcontrib>Wada, Hideyuki</creatorcontrib><creatorcontrib>Yorinaga, Satoko</creatorcontrib><creatorcontrib>Shichinohe, Toshiaki</creatorcontrib><creatorcontrib>Tomaru, Utano</creatorcontrib><creatorcontrib>Komatsu, Yoshito</creatorcontrib><creatorcontrib>Hirano, Satoshi</creatorcontrib><title>Perioperative chemotherapy with nivolumab for HER2-negative locally advanced gastric cancer: a case series</title><title>Surgical Case Reports</title><addtitle>surg case rep</addtitle><addtitle>Surg Case Rep</addtitle><description>Background Nivolumab with chemotherapy has been transformative for metastatic gastric cancer (GC). The potential of this regimen for local tumor control could be utilized for perioperative chemotherapy in locally advanced GC with bulky tumors or lymph node metastasis involving other organs. Case presentation Five patients with HER2-negative advanced GC were treated with nivolumab and oxaliplatin-based chemotherapy. All patients presented with clinical stage III or IVA GC with tumors in contact with either the pancreas or liver. Following chemotherapy, all tumors demonstrated shrinkage, allowing successful radical gastrectomies including four minimally invasive approach without postoperative complications. Four patients avoided combined resection of other organs. Conclusions Perioperative chemotherapy with nivolumab was effective for local disease control in this case series. 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The potential of this regimen for local tumor control could be utilized for perioperative chemotherapy in locally advanced GC with bulky tumors or lymph node metastasis involving other organs. Case presentation Five patients with HER2-negative advanced GC were treated with nivolumab and oxaliplatin-based chemotherapy. All patients presented with clinical stage III or IVA GC with tumors in contact with either the pancreas or liver. Following chemotherapy, all tumors demonstrated shrinkage, allowing successful radical gastrectomies including four minimally invasive approach without postoperative complications. Four patients avoided combined resection of other organs. Conclusions Perioperative chemotherapy with nivolumab was effective for local disease control in this case series. This regimen could be a promising treatment approach for locally advanced GC; however, its survival benefits should be evaluated in clinical trials.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39192090</pmid><doi>10.1186/s40792-024-02001-w</doi><orcidid>https://orcid.org/0000-0001-7299-2342</orcidid><oa>free_for_read</oa></addata></record>
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subjects Cancer
Cancer therapies
Care and treatment
Case Report
Case reports
Cell death
Chemotherapy
Classification
Epidermal growth factor
Gastric cancer
Hormone replacement therapy
Ligands
Liver
Liver cancer
Lymphatic system
Medicine
Medicine & Public Health
Metastasis
Pancreaticoduodenectomy
Patients
Stomach cancer
Surgery
Tumors
title Perioperative chemotherapy with nivolumab for HER2-negative locally advanced gastric cancer: a case series
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