Yamada Masanori, Nakai Koji, Inoue Kentaro, Matsuura Takashi, Yanagida Hidesuke, Kitade Hiroaki, Yoshioka Kazuhiko, Hamada Madoka, Kwon A-Hon
Dept. of Surgery, Kansai Medical University.
Gan To Kagaku Ryoho. 2014 Nov;41(12):2439-41.
A 75-year-old man underwent pancreatoduodenectomy for pancreatic cancer. He had presented with epigastralgia in June 2008. Gastrointestinal endoscopy revealed type 2 gastric cancer in the cardiac area. Enhanced abdominal CT scanning confirmed an enhanced mass in the cardiac area. Gastrectomy with Roux-en-Y reconstruction was performed for residual gastric cancer. Histopathological findings revealed, pT3(SS), pN0, pH0, pP0, pStageIIA. Single-agent TS-1 therapy was chosen as adjuvant chemotherapy but was changed to TS-1+CDDP because of CT-detected recurrence 3 months after the second operation. After a 6 month course of chemotherapy, complete reduction of the tumor was obtained.
一名75岁男性因胰腺癌接受了胰十二指肠切除术。他于2008年6月出现上腹痛。胃肠内镜检查发现贲门区有2型胃癌。增强腹部CT扫描证实贲门区有一强化肿块。对残留胃癌进行了胃切除术并采用Roux-en-Y重建术。组织病理学检查结果显示，pT3(SS)、pN0、pH0、pP0、p分期IIA期。选择单药替吉奥（TS-1）作为辅助化疗，但在第二次手术后3个月因CT检测到复发而改为替吉奥联合顺铂（TS-1+CDDP）。经过6个月的化疗疗程，肿瘤完全缩小。
