A case of unresectable locally advanced intrahepatic cholangiocarcinoma that achieved pathological complete response after gemcitabine and S1 chemotherapy

Clin J Gastroenterol. 2022 Dec;15(6):1164-1168. doi: 10.1007/s12328-022-01700-x. Epub 2022 Oct 1.

Abstract

The standard chemotherapy for patients with unresectable cholangiocarcinoma is gemcitabine plus cisplatin, and gemcitabine plus S-1 (GS) chemotherapy is also reported to have similar effectiveness in Japan. However, the response rates of these two chemotherapies were modest, and no patients with intrahepatic cholangiocarcinoma (ICC) have shown a pathological complete response (pCR) following these chemotherapies. We report here the first case of an initially unresectable locally advanced ICC that achieved pCR following GS chemotherapy.

Keywords: Gemcitabine; Intrahepatic cholangiocarcinoma; Pathological complete response; S-1.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Bile Duct Neoplasms* / diagnostic imaging
  • Bile Duct Neoplasms* / drug therapy
  • Bile Duct Neoplasms* / etiology
  • Bile Ducts, Intrahepatic / pathology
  • Cholangiocarcinoma* / diagnostic imaging
  • Cholangiocarcinoma* / drug therapy
  • Cholangiocarcinoma* / etiology
  • Gemcitabine
  • Humans

Substances

  • Gemcitabine