Usuda Atsuko, Nashimoto Atsushi, Yabusaki Hiroshi, Nakagawa Satoru, Matsuki Atsushi, Tsuchiya Yoshiaki, Takii Yasumasa, Nomura Tatsuya, Maruyama Satoshi, Homma Keiichi
Division of Surgery, Niigata Cancer Center Hospital, Japan.
Gan To Kagaku Ryoho. 2011 Oct;38(10):1687-90.
A 69-year-old man suffering from heart-burn was referred to our hospital, and diagnosed as type 3 advanced gastric cancer with lymph node metastasis. Neoadjuvant chemotherapy (NAC) with docetaxel, cisplatin and S-1 was attempted. After two courses of chemotherapy were completed, distal gastrectomy with D2 lymphadenectomy was performed. Pathologically, there were no viable cancer cells remaining in the primary lesion and lymph nodes. The pathological response of NAC was judged to be grade 3. The postoperative course was uneventful, and the patient is currently visiting our outpatient clinic for treatment with S-1 as postoperative adjuvant chemotherapy.
一名69岁患有烧心症状的男性被转诊至我院,被诊断为伴有淋巴结转移的3期进展期胃癌。尝试采用多西他赛、顺铂和S-1进行新辅助化疗(NAC)。在完成两个疗程的化疗后,进行了D2淋巴结清扫的远端胃切除术。病理检查显示,原发灶和淋巴结中均无存活癌细胞残留。NAC的病理反应被判定为3级。术后过程顺利,患者目前正在我院门诊接受S-1作为术后辅助化疗的治疗。