The effectiveness of trastuzumab (Herceptin) combined with chemotherapy for gastric carcinoma with overexpression of the c-erbB-2 protein

被引:70
作者
Rebischung C. [1 ]
Barnoud R. [2 ]
Stéfani L. [1 ]
Faucheron J.-L. [3 ]
Mousseau M. [1 ]
机构
[1] Department of Oncology and Haematology, University Hospital, 38043 Grenoble Cedex 9
[2] Department of Anatomopathology, University Hospital of Grenoble, Grenoble
[3] Department of Surgery, University of Grenoble, Grenoble
关键词
Anti-EGF antibody; c-erbB-2; protein; Gastric cancer; Trastuzumab;
D O I
10.1007/s10120-005-0342-7
中图分类号
学科分类号
摘要
The c-erbB-2 protein is overexpressed in 7% of gastric cancer cases, suggesting that anti-c-erbB-2 antibody therapy (trastuzumab; Herceptin) could be used. We report here a 28-year-old woman with metastatic gastric cancer overexpressing c-erbB-2 (3 + strong membrane staining on immunohistochemistry) who was treated with trastuzumab in combination with chemotherapy. A complete response was obtained with a combination of trastuzumab and oxaliplatin and was maintained with trastuzumab alone for 18 months. The patient relapsed and chemotherapy (capecitabine, docetaxel) was combined with the anti-c-erbB-2 antibody. The patient survived for 4 years with metastatic disease controlled for 2 years by immunochemotherapy. We conclude that the combination of trastuzumab and chemotherapy is efficient in the treatment of metastatic gastric carcinoma with overexpression of the c-erbB-2 protein. © 2005 by International and Japanese Gastric Cancer Associations.
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页码:249 / 252
页数:3
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