Tanaka Kenichi, Toyokawa Akihiro, Kanemitsu Kiyonori, Okuda Toyokazu, Iwasaki Takeshi, Ishida Takeshi
Department of Surgery, Yodogawa Christian Hospital.
Gan To Kagaku Ryoho. 2010 Jun;37(6):1117-20.
The case is a 66-year-old woman. CT showed multiple metastasis of the liver and lung after operation by colectomy for ascending colon carcinoma. A close inspection showed progressive stomach cancer with lymph node metastasis. Metastasis was considered an effect when it was of colon cancer origin, and treatment by mFOLFOX6 was started. In the results, we confirmed contraction of the liver and lung metastasis and contraction of the regional lymph node metastasis of the stomach by CT. The gastric cancer lesion became only a cicatrix with endoscopic examination. For gastric cancer, the availability of mFOLFOX6 was suggested.
该病例为一名66岁女性。CT显示升结肠癌行结肠切除术后出现肝和肺多发转移。仔细检查发现进展期胃癌伴淋巴结转移。当转移灶起源于结肠癌时考虑为转移，遂开始采用mFOLFOX6方案治疗。结果显示，通过CT证实肝和肺转移灶缩小，胃区域淋巴结转移灶缩小。内镜检查显示胃癌病灶仅为瘢痕。提示mFOLFOX6对胃癌有效。
