Ichikawa Junko, Koizumi Wasaburou, Tanabe Satoshi, Takeuchi Hajime, Nagaba Shizuka, Higuchi Katsuhiko, Sasaki Toru, Tahara Kumiko, Murakami Satoshi, Kitamura Tadashi, Nakai Hisao, Saigenji Katsunori
Gastroenterology Division, Dept. of Internal Medicine, School of Medicine, Kitasato University.
Gan To Kagaku Ryoho. 2004 Feb;31(2):255-8.
A 36-year-old woman was diagnosed with type 3 advanced gastric cancer with multiple liver metastases in March 1992. The patient was treated with systemic chemotherapy of 5'-deoxy-5-fluorouridine and cisplatin. After 4 courses of chemotherapy, the primary lesion responded and the multiple liver metastases disappeared. Therefore, total gastrectomy with perigastric lymphadenectomy and splenic preservation was performed. Two additional courses of the same chemotherapy were administered after the surgery. The patient has been alive without recurrence for 10 years after the curative resection.
一名36岁女性于1992年3月被诊断为伴有多发肝转移的3期进展期胃癌。该患者接受了5'-脱氧-5-氟尿苷和顺铂的全身化疗。4个疗程的化疗后,原发灶有反应,多发肝转移消失。因此,行全胃切除、胃周淋巴结清扫并保留脾脏。术后又给予了2个疗程相同的化疗。该患者在根治性切除术后已存活10年无复发。