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International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

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International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

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Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

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Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

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Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

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International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

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Article

Pseudocirrhosis caused by regorafenib in an advanced rectal cancer patient with multiple liver metastases

  • Authors:
    • Kensuke Kumamoto
    • Shungo Endo
    • Noriyuki Isohata
    • Azuma Nirei
    • Daiki Nemoto
    • Kenichi Utano
    • Takuro Saito
    • Kazutomo Togashi
  • View Affiliations / Copyright

    Affiliations: Department of Coloproctology, Aizu Medical Center, Fukushima Medical University, Aizuwakamatsu, Fukushima 969-3492, Japan, Department of Surgery, Aizu Medical Center, Fukushima Medical University, Aizuwakamatsu, Fukushima 969-3492, Japan
  • Pages: 63-66
    |
    Published online on: November 28, 2016
       https://doi.org/10.3892/mco.2016.1096
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Abstract

A 70-year-old man who was diagnosed with unresectable advanced rectal cancer with multiple liver metastases, received oxaliplatin-based treatment with bevacizumab as first-line chemotherapy and irinotecan-based treatment with bevacizumab as second-line chemotherapy for a total of 17 months. The patient was treated with regorafenib (160 mg/day for 3 weeks) as third-line chemotherapy. Following completion of one course of regorafenib treatment, the patient complained of abdominal distension. Computed tomography (CT) examination identified liver atrophy and massive ascites, while no such symptoms were observed prior to the regorafenib treatment. Blood testing revealed increases in the aspartate aminotransferase (AST), alanine aminotransferase (ALT) and alkaline phosphatase (ALP) levels. The patient was admitted to the Aizu Medical Center (Aizuwakamatsu, Japan). Approximately 2,000 ml of ascitic fluid were aspirated daily for 1 week by abdominal puncture. The patient was administered oral diuretics, including 20 mg/day of furosemide and 25 mg/day of spironolactone. Albumin was administered to correct the albumin deficit. The levels of AST, ALT and ALP were decreased from the peak value reported on admission and the patient was discharged from our hospital 16 days following treatment initiation. The CT examination after 1 month revealed that the volume of the liver had been restored and the ascites had disappeared. Furthermore, almost all the liver metastases were reduced in size. The carcinoembryonic antigen level, which was elevated prior to regorafenib treatment, also decreased to normal.
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Copy and paste a formatted citation
Spandidos Publications style
Kumamoto K, Endo S, Isohata N, Nirei A, Nemoto D, Utano K, Saito T and Togashi K: Pseudocirrhosis caused by regorafenib in an advanced rectal cancer patient with multiple liver metastases. Mol Clin Oncol 6: 63-66, 2017.
APA
Kumamoto, K., Endo, S., Isohata, N., Nirei, A., Nemoto, D., Utano, K. ... Togashi, K. (2017). Pseudocirrhosis caused by regorafenib in an advanced rectal cancer patient with multiple liver metastases. Molecular and Clinical Oncology, 6, 63-66. https://doi.org/10.3892/mco.2016.1096
MLA
Kumamoto, K., Endo, S., Isohata, N., Nirei, A., Nemoto, D., Utano, K., Saito, T., Togashi, K."Pseudocirrhosis caused by regorafenib in an advanced rectal cancer patient with multiple liver metastases". Molecular and Clinical Oncology 6.1 (2017): 63-66.
Chicago
Kumamoto, K., Endo, S., Isohata, N., Nirei, A., Nemoto, D., Utano, K., Saito, T., Togashi, K."Pseudocirrhosis caused by regorafenib in an advanced rectal cancer patient with multiple liver metastases". Molecular and Clinical Oncology 6, no. 1 (2017): 63-66. https://doi.org/10.3892/mco.2016.1096
Copy and paste a formatted citation
x
Spandidos Publications style
Kumamoto K, Endo S, Isohata N, Nirei A, Nemoto D, Utano K, Saito T and Togashi K: Pseudocirrhosis caused by regorafenib in an advanced rectal cancer patient with multiple liver metastases. Mol Clin Oncol 6: 63-66, 2017.
APA
Kumamoto, K., Endo, S., Isohata, N., Nirei, A., Nemoto, D., Utano, K. ... Togashi, K. (2017). Pseudocirrhosis caused by regorafenib in an advanced rectal cancer patient with multiple liver metastases. Molecular and Clinical Oncology, 6, 63-66. https://doi.org/10.3892/mco.2016.1096
MLA
Kumamoto, K., Endo, S., Isohata, N., Nirei, A., Nemoto, D., Utano, K., Saito, T., Togashi, K."Pseudocirrhosis caused by regorafenib in an advanced rectal cancer patient with multiple liver metastases". Molecular and Clinical Oncology 6.1 (2017): 63-66.
Chicago
Kumamoto, K., Endo, S., Isohata, N., Nirei, A., Nemoto, D., Utano, K., Saito, T., Togashi, K."Pseudocirrhosis caused by regorafenib in an advanced rectal cancer patient with multiple liver metastases". Molecular and Clinical Oncology 6, no. 1 (2017): 63-66. https://doi.org/10.3892/mco.2016.1096
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