Панкреатодуоденальная резекция при первично нерезектабельном раке головки поджелудочной железы после неоадъювантной химиотерапии

Представлено клиническое наблюдение успешного комбинированного лечения пациента с протоковой аденокарциномой головки поджелудочной железы с распространением на верхнюю брыжеечную артерию и вену. При обследовании диагностирована нерезектабельная опухоль. После 12 курсов химиотерапии по схеме FOLFIRINOX получены хорошие результаты, план лечения был изменен и выполнена типичная панкреатодуоденальная резекция. При патоморфологическом исследовании – протоковая аденокарцинома урT1N0M0R0, II степень терапевтического патоморфоза (TRG 2). Послеоперационный период без осложнений. Эффективность лекарственного лечения при протоковой аденокарциноме в последние годы заметно возросла. Неоадъювантную химиотерапию можно считать наиболее эффективной при местном распространении опухоли.

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