Gan to kagaku ryoho. Cancer & chemotherapy · 2026
[A Case of Adenocarcinoma of Esophagogastric Junction with CY1 in Which Staging Laparoscopy Was Useful in Deciding Whether to Continue Chemotherapy].
СтатьяКлинический случайАннотация на английскомНазвание и аннотация: Перевод в очереди
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Kawaguchi Kiyoshi, Fujimoto Hiroto, Isobe Hideki, Urayama Masahiro, Shibata Kenichi, Nakano Ryo, Ohta Keiji
Аннотация
A male patient in his 60s underwent proximal gastrectomy for adenocarcinoma of esophagogastric junction. The pathology result was UE, Type 4, 75 × 45 mm, tub1 > por2, pT4a, pN1, CY1. Then, chemotherapy with a 2-course S-1/CDDP was administered. This was followed by a 25-course PTX administered weekly for over 3 years. At this point, he underwent staging laparoscopy (SL). The result of lavage cytology was positive. Weekly PTX was administered again until the 39th course. Subsequently, he underwent 2nd SL and lavage cytology was negative. He stopped the treatment. After 1 year he received 3rd SL and lavage cytology was negative. The CT scan 5 years later showed no recurrence, and he was deemed cured. Performing SL multiple times after surgery was useful in determining treatment options.