Matsuda Yoshiko, Nakamura Tetsu, Ueta Koji, Hasegawa Hiroshi, Yamamoto Masashi, Kanaji Shingo, Yamashita Kimihiro, Oshikiri Taro, Matsuda Takeru, Sumi Yasuo, Suzuki Satoshi, Kakeji Yoshihiro
Division of Gastrointestinal Surgery, Dept. of Surgery, Graduate School of Medicine, Kobe University.
Gan To Kagaku Ryoho. 2018 Mar;45(3):471-473.
A 27-year-old woman was diagnosed with gastric cancer complicated peritoneal dissemination and direct invasion to pancreas via staging laparoscopy. After systemic chemotherapy using regimen of S-1/CDDP for 2courses, the tumor did not increase in size and peritoneal dissemination did not progress. The patient subsequently underwent distal gastrectomy as a curative surgery. The histological diagnosis was ypT4bN1M0, ypStage III B. The patient was treated with DOC/CDDP for 6 courses after surgery as adjuvant therapy. At present 6 years after surgery, the patient is alive without tumor recurrence.
一名27岁女性经分期腹腔镜检查被诊断为胃癌伴腹膜播散及直接侵犯胰腺。采用S-1/顺铂方案进行2个疗程的全身化疗后，肿瘤大小未增加，腹膜播散未进展。患者随后接受了远端胃切除术作为根治性手术。组织学诊断为ypT4bN1M0，ypⅢB期。患者术后接受了6个疗程的多西他赛/顺铂辅助治疗。目前术后6年，患者存活且无肿瘤复发。
