Kawabata Ryohei, Yoshikawa Masato, Kameda Chizu, Takata Akihiro, Yasuyama Akinobu, Matsumura Tae, Koga Chikato, Murakami Masahiro, Hirota Masaki, Noura Shingo, Shimizu Junzo, Miwa Hideaki, Hasegawa Junichi
Dept. of Surgery, Osaka Rosai Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):2368-2370.
The patient was an 80-year-old man. He had a chief complaint of epigastric pain. The upper gastrointestinal endoscopy showed a type 4 tumor of the stomach, and the CT scan showed multiple para-aortic lymph node metastases. The patient was diagnosed with cStage IV gastric cancer. At first, he could take only small amounts of liquid. After starting S-1 and oxaliplatin (SOX), he was able to resume a full diet and his general condition was improved. A CT scan after 4 courses of chemotherapy showed a significant reduction in the wall thickness of the stomach and the size of the lymph nodes. SOX chemotherapy could be a promising treatment option for elderly patients with advanced gastric cancer.