Noji M, Bandoh T, Isoyama T, Nagaoka S, Fujiwara M, Takemura T
Dept. of Gastroenterological Surgery, Japan Red Cross Medical Center.
Gan To Kagaku Ryoho. 2000 Feb;27(2):285-8.
The patient was a 57-year-old man abnormalities indicated in examinations by X-ray and ultrasonography in February, 1991. X-ray and endoscopic examination revealed a Borrmann type 3 carcinoma in the posterior wall and lesser curvature of the upper body of the stomach. The liver was swollen to 3 fingerbreadths on the right mid-clavicular line. Multiple liver metastases were revealed by computed tomography (CT). Proximal gastrectomy was done. From March 24, 1991, a Futraful suppository (1,500 mg/day) was given daily. After 4 months, CT showed the reduction and partial disappearance of the low-density areas of the liver. After 2 years and 7 months, CT showed very small low-density areas, which completely disappeared by April, 1998. The patient has had a good quality of life. According to the General Rules for Gastric Cancer Study, the patient belongs to the class of complete response.
该患者为一名57岁男性,1991年2月的X线和超声检查显示有异常。X线和内镜检查发现胃体部后壁及小弯侧有Borrmann 3型癌。肝脏在右锁骨中线处肿大至3指宽。计算机断层扫描(CT)显示有多处肝转移。遂行近端胃切除术。自1991年3月24日起,每日给予氟尿嘧啶栓(1500毫克/天)。4个月后,CT显示肝脏低密度区缩小且部分消失。2年7个月后,CT显示有非常小的低密度区,至1998年4月这些低密度区完全消失。患者生活质量良好。根据胃癌研究总则,该患者属于完全缓解类别。