Terakura Masanobu, Ikebe Takashi, Nishioka Takayoshi, Horiike Masaki, Kaneko Masahiro
Dept. of Surgery, Goushi Hospital.
Gan To Kagaku Ryoho. 2010 May;37(5):887-9.
The patient is a 75-year-old woman who received 2 courses of neoadjuvant chemotherapy (NAC) with S-1/CDDP for advanced gastric cancer and para-aortic lymph node metastasis. After completion of the second course, both the primary tumor and lymph node metastases practically disappeared. Later, total gastrectomy was performed. Histopathological examination revealed cancer cells remaining in just one part of subserosa (ss), and no lymph node metastases were detected. The postoperative course was favorable, and the patient is currently attending the outpatient clinic.
该患者为一名75岁女性,因晚期胃癌伴主动脉旁淋巴结转移接受了2个疗程的S-1/顺铂新辅助化疗(NAC)。在完成第二个疗程后,原发肿瘤和淋巴结转移灶几乎完全消失。随后进行了全胃切除术。组织病理学检查显示仅在浆膜下层(ss)的一个部位残留癌细胞,未检测到淋巴结转移。术后过程顺利,患者目前正在门诊就诊。