A 27-year-old man with advanced colon cancer that was resistant to conventional chemoradiotherapies was treated with reduced-intensity
allogeneic peripheral blood stem cell transplantation (PBSCT). After obtaining complete donor-type chimerism, there was an
apparent graft-versus-tumor effect accompanied by severe hepatic graft-versus-host disease (GVHD) showing hyperbilirubinemia,
resulting in a stable disease condition that lasted for 18 months, which had not been seen previously in his previous disease
history. The antitumor effect observed in this patient was insufficient for the patient to achieve complete remission, because
the disease was at an already widespread and treatment-resistant stage. He finally died of hepatic failure due to extensive
liver GVHD 65 months after the diagnosis of the advanced colon cancer and 29 months after the allogeneic PBSCT. Prospective
studies are necessary to achieve better clinical results in patients with advanced colon cancer.
Key words Advanced colon cancer - Graft-versus-host disease - Graft-versus-tumor effect - Hematopoietic stem cell transplantation