Mori Kazunori, Kishi Kentaro, Masuzawa Toru, Tsukada Ryo, Tanemura Masahiro, Tei Mitsuyoshi, Suzuki Yozo, Otsuka Masahisa, Furukawa Kenta, Akamatsu Hiroki
Dept. of Gastroenterological Surgery, Osaka Police Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):2234-2236.
The patient was a 78-year-old woman. She was referred to our hospital and diagnosed with advanced gastric cancer with para-aortic lymph node(#16)metastasis. She received the SOX regimen(L-OHP 100mg/m2)chemotherapy and developed fatigue, anorexia, and neutropenia. After 4 courses of the SOX regimen, the #16 metastasis was reduced remarkably. A curative operation was performed and histological evaluation of the primary and lymphatic lesion after chemotherapy showed Grade 3 findings. The SOX regimen is tolerable in the outpatient clinic and is useful as part of multidisciplinary treatment for advanced gastric cancer.
该患者为一名78岁女性。她被转诊至我院,诊断为伴有主动脉旁淋巴结(#16)转移的晚期胃癌。她接受了SOX方案(奥沙利铂100mg/m²)化疗,出现了疲劳、厌食和中性粒细胞减少。经过4个疗程的SOX方案治疗后,#16转移灶明显缩小。进行了根治性手术,化疗后对原发灶和淋巴病灶的组织学评估显示为3级结果。SOX方案在门诊是可耐受的,作为晚期胃癌多学科治疗的一部分是有效的。