Kawabata Ryohei, Kameda Chizu, Takata Akihiro, Yasuyama Akinobu, Matsumura Tae, Koga Chikato, Murakami Masahiro, Hirota Masaki, Noura Shingo, Shimizu Junzo, Chatani Masashi, Imai Yuki, Hasegawa Junichi
Dept. of Surgery, Osaka Rosai Hospital.
Gan To Kagaku Ryoho. 2017 Nov;44(12):1653-1655.
The patient was a 77-year-old man. He was diagnosed with Stage IV gastric cancer with pancreatic invasion and pyloric stenosis. After gastrojejunostomy, S-1 monotherapy was started. Melena and fatigue appeared 2 months after chemotherapy, and Grade 3 anemia was confirmed. Palliative radiotherapy of 30 Gy in 10 Fr was administered to control bleeding from the lesion. The progression of anemia stopped and outpatient chemotherapy became possible. Palliative radiotherapy for persistent bleeding from unresectable advanced gastric cancer is considered an effective treatment option to control bleeding.
该患者为一名77岁男性。他被诊断为伴有胰腺侵犯和幽门狭窄的IV期胃癌。胃空肠吻合术后，开始使用S-1单药治疗。化疗2个月后出现黑便和疲劳，确诊为3级贫血。给予10次分割共30 Gy的姑息性放疗以控制病灶出血。贫血进展停止，门诊化疗成为可能。对于无法切除的进展期胃癌持续出血进行姑息性放疗被认为是控制出血的一种有效治疗选择。
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