马萨诸塞州56 years old maleUnited StatesTotal Cost: 203
Patient Condition
Upper abdominal pain, weight loss 6kg, CA19 -9: 3,200 U/mL. CT showed a 4.5-cm mass in the pancreatic head and the portal vein-splenic vein junction was involved (<180 degrees). Locally advanced pancreatic ductal adenocarcinoma was diagnosed and was initially unresectable.
Treatment Timeline
Phase
Details
Date
initial assessment
neoadjuvant chemotherapy
efficacy assessments
surgical treatment
postoperative chemotherapy
Treatment Outcome
before
CA19 -9: 3,200 U/mL, pancreatic head occupying 4.5 cm, portal vein involvement, initial junction resectable
after
CA19 -9 dropped to 68 U/mL (98% decrease), DFS 14 months, OS 23 months and ongoing