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Academic Knowledge Archives of Gunma Institutes >
群馬大学(Gunma University) >
30 医学系研究科 >
3005 北関東医学会 >
330501 The Kitakanto medical journal >
Vol.60 (2010) >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10087/5631
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Title: | Successful Treatment of Recurrent Gastric Cancer with Chemotherapy for M ore than 6 Years : A Case Report |
Authors: | Keitaro, Hirai Izumi, Takeyoshi Yutaka, Sunose Daisuke, Yoshinari Kazuhisa, Arakawa Osamu, Totsuka Hiroyuki, Toya Hiroomi, Ogawa Norifumi, Takahashi Kazumi, Tanaka |
Keywords: | paclitaxel doxifluridine gastric cancer S-1 |
Issue Date: | 1-Aug-2010 |
Publisher: | 北関東医学会 |
Citation: | The Kitakanto Medical Journal. 60(3), 265-270 (2010) |
Abstract: | A 66 year-old male underwent a distal gastrectomy with D2 dissection in April 2003. Pathological findings showed a well-differentiated carcinoma with a depth of m, n2, stage II. Six months later, a computed tomography revealed multiple lymph node swellings in the para-aortic lesion ; we judged this to be a recurrence of the gastric cancer. As treatment, paclitaxel was administered weekly on days 1, 8, and 15, in combination with doxifluridine for 5 days per week, on a 28-day cycle. Following three courses of chemotherapy, the lymph nodes had almost disappeared. This therapy was continued until January 2007. Because of the appearance of a Virchow lymph node, S-1+ cisplatin was administered.
Following administration of the altered chemotherapy regime, a computed tomography displayed a significant reduction in Virchow lymph node swelling. Four years and ten months following the initiation of chemotherapy, the patient displayed jaundice. A computed tomography revealed lymph node swelling in the hepato-duodenal region. Following bile duct drainage, he received four cycles of paclitaxel and doxifluridine therapy. The patient then received S-1 monotherapy for 5 months. He died in February 2010, 6 years and 3 months after the recurrence in the stomach cancer. |
URI: | http://hdl.handle.net/10087/5631 |
ISSN: | 1343-2826 |
Appears in Collections: | Vol.60 (2010)
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