Gan to kagaku ryoho. Cancer & chemotherapy · 2022
[A Case of Combined Modality Therapy for Progressive Esophagus Cancer with Perforation Due to Preoperative Chemotherapy].
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Miyoshi Kenta, Ota Yoshihiro, Sakurai Toru, Matsumoto Moe, Yamada Erika, Enomoto Masaya, Iwasaki Kenichi, Nagakawa Yuichi, Katsumata Kenji, Tsuchida Akihiko
Аннотация
A nearby doctor sensed incongruity in deglutition as a chief complaint from a 56-year-old man. A middle intrathoracic esophagus cancer was subsequently diagnosed and referred to our department. We started FP therapy based on the preoperative chemotherapy guidelines, but perforation of esophageal cancer developed. We conducted chest drainage, and attempted to improve the patient's overall status with antibiotic medical treatment and hyperalimentation; single-stage operations were performed. As tumor invaded the left pleura, surgery occurred for R2 resection of the left lung. Subsequently, we started nivolumab therapy because we give DCF therapy and detected a liver metastasis and we continue it now and survive.