Wakatsuki Kazuo, Yoshioka Shigeru, Kataoka Masaaki, Tonooka Toru, Kawamoto Jun, Oeda Yoshio
Department of Surgery, Chiba Municipal Kaihin Hospital.
Gan To Kagaku Ryoho. 2009 Nov;36(12):2303-5.
A 61-year-old male complained of easy fatigue. Gastroscopy revealed a gastric carcinoma. CT showed No.3 and No.7 lymph nodes swelling. Distant metastasis was not found. S-1 (120 mg/day) was administered for 28 days followed by 14- day rest as one course. Total gastrectomy was performed for 2 weeks after the chemotherapy. Pathology revealed no cancer cells in the gastric wall and dissected lymph nodes. The pathological effect was judged as Grade 3. This case suggests that S-1 therapy may be useful for elderly patients and patients with poor renal function.
一名61岁男性主诉易疲劳。胃镜检查发现胃癌。CT显示3号和7号淋巴结肿大。未发现远处转移。给予S-1(120毫克/天)治疗28天,随后休息14天为一个疗程。化疗2周后进行全胃切除术。病理检查显示胃壁和切除的淋巴结中无癌细胞。病理疗效判定为3级。该病例提示S-1治疗可能对老年患者及肾功能不佳的患者有效。