Gan to kagaku ryoho. Cancer & chemotherapy · 2015
[Long-Term Disease-Free Survival through Postoperative Chemotherapy in a Case of Gastric Cancer with Peritoneal Dissemination].
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Nakade Hiroshi, Matsumoto Sohei, Wakatsuki Kohei, Tanaka Tetsuya, Migita Kazuhiro, Ito Masahiro, Kunishige Tomohiro, Kitano Mutsuko, Nakatani Mitsuhiro, Nakajima Yoshiyuki
Аннотация
An 80-year-old man with type 4 gastric cancer in the mid-gastric region underwent total gastrectomy and D2-No.10 lymph-node dissection (cT4a, N0, M0, cStageⅡB). Several nodules were detected under the left diaphragm, some of which were biopsied. Pathological findings indicated a poorly differentiated adenocarcinoma, pT4a (SE), pN3b, pM1 (P1, CY1), pStage Ⅳ. Systemic chemotherapy was initiated, using a regimen of S-1/docetaxel (DOC). After 6 courses of combination therapy, we switched to S-1 alone, which was continued for 1 year. Eighteen months after the surgery the patient discontinued S-1 treatment and has since survived for 5 years with no obvious cancer recurrence.