Shimaoka Hideki, Shibata Ryosuke, Hosoda Yasuhito, Hirano Yosuke, Munechika Taro, Yonemitsu Kimihiro, Ishii Yasushi, Okamoto Tatsuya, Maeno Hiroshi, Noritomi Tomoaki, Yoshida Takahisa, Sueishi Katsuo
Dept. of Surgery, Fukuoka Tokushukai Medical Center.
Gan To Kagaku Ryoho. 2017 Nov;44(12):1220-1222.
A 69-year-old man, who had undergone distal gastrectomy for duodenal ulcer, was diagnosed with remnant gastric cancer and jejunal mesenteric lymph node metastasis. To improve curability, we planned 2 courses of S-1 and cisplatin therapy. After chemotherapy, primary lesion and lymph node metastases reduced in size drastically. Completion gastrectomy and lymph node dissection were performed with curative intent. The tumor was found to have a pathological complete response(pCR) to chemotherapy on histological examination.
一名69岁男性,因十二指肠溃疡接受了远端胃切除术,被诊断为残胃癌并伴有空肠系膜淋巴结转移。为提高治愈率,我们计划进行2个疗程的S-1和顺铂治疗。化疗后,原发灶和淋巴结转移灶的大小显著缩小。遂进行了根治性全胃切除术及淋巴结清扫术。组织学检查发现肿瘤对化疗有病理完全缓解(pCR)。