[A case of locally advanced gastric cancer in which the patient underwent curative gastrectomy after treatment with systemic chemotherapy with bi-weekly s-1/docetaxel].
In: Gan to kagaku ryoho. Cancer & chemotherapy, Jg. 40 (2013-11-01), Heft 11, S. 1533-6
academicJournal
Zugriff:
Here, we report the case of a patient with advanced gastric cancer complicated by pyloric stenosis and direct invasion into the pancreas who underwent curative resection after bi-weekly S-1/docetaxel(DS)therapy after gastrojejunostomy. A 73-year-old man consulted a general practitioner because of indigestibility, and upper gastrointestinal endoscopy indicated gastric cancer. He was referred to our hospital. Gastric cancer, whole stomach tumor(LMU), 150×80 mm, Type 3, T4a(SE), N2, M0, stage III B was diagnosed, and surgery was performed. The tumor was seen to directly invade the pancreas and the middle colic artery intraoperatively, so only a gastrojejunostomy was performed. After the operation, the patient was treated with DS therapy for 13 courses, and the response was defined as non-complete response(CR)and non-progressive disease (PD). During the second laparotomy, a curative operation was performed via distal gastrectomy because frozen-section diagnosis revealed that no cancer cells were present at the oral margin. Postoperatively, the tumor was diagnosed as LM, 10× 7 mm, 10×2.5 mm, pType 4, pT2(MP), pN0, pM0, CY0, stage I B. The patient is now receiving S-1 adjuvant chemotherapy and is still alive 2 years and 4 months after the first operation.
Titel: |
[A case of locally advanced gastric cancer in which the patient underwent curative gastrectomy after treatment with systemic chemotherapy with bi-weekly s-1/docetaxel].
|
---|---|
Autor/in / Beteiligte Person: | Wada, T ; Kunisaki, C ; Hasegawa, S ; Kaida, S ; Tamura, S ; Ono, H ; Oshima, T ; Fujii, S ; Kosaka, T ; Makino, H ; Akiyama, H ; Endo, I |
Zeitschrift: | Gan to kagaku ryoho. Cancer & chemotherapy, Jg. 40 (2013-11-01), Heft 11, S. 1533-6 |
Veröffentlichung: | Tokyo : Gan To Kagaku Ryohosha ; <i>Original Publication</i>: Tōkyō, Gan to Kagaku Ryōhōsha [1974?]-, 2013 |
Medientyp: | academicJournal |
ISSN: | 0385-0684 (print) |
Schlagwort: |
|
Sonstiges: |
|