Koga Hiroki, Miyoshi Atsushi, Nakamura Jun, Ide Takao, Kitahara Kenji, Noshiro Hirokazu
Dept. of Surgery, Saga Medical School Faculty of Medicine, Saga University.
Gan To Kagaku Ryoho. 2014 May;41(5):665-8.
A 69-year-old man was admitted to our hospital for abdominal pain. An abdominal computed tomography(CT)scan revealed pancreatictail cancer with peritoneal dissemination. We administered systemic chemotherapy consisting of S-1 and gemcitabine. After 10 courses, the peritoneal dissemination had disappeared and tumor marker levels returned to almost normal values. Thus, we considered the patient to have an effective response, so we performed a distalpancreatectomy and partial resection of the stomach, transverse colon, and left adrenal gland. Eleven months after the operation, the patient is alive with no recurrence.
一名69岁男性因腹痛入院。腹部计算机断层扫描（CT）显示胰尾癌伴腹膜播散。我们给予了由S-1和吉西他滨组成的全身化疗。10个疗程后，腹膜播散消失，肿瘤标志物水平恢复至几乎正常。因此，我们认为患者有有效反应，于是进行了胰体尾切除术以及胃、横结肠和左肾上腺部分切除术。术后11个月，患者存活且无复发。
