Yamauchi S, Hirata T, Tsuruhara Y
Gan To Kagaku Ryoho. 1986 Feb;13(2):384-8.
A 62-year-old male was admitted because of upper abdominal mass. Exploratory laparotomy revealed unresectable gastric cancer, liver metastases and swelling of regional lymph nodes. Histological examination showed papillotubular adenocarcinoma. After 6 months' postoperative administration of UFT at a daily dose of 600 mg, X-ray and endoscopic examination revealed remarkable improvement of the gastric cancer. Computed tomography and ultrasonography showed disappearance of the mass in the liver and a remarkable decrease in the size of paraaortic lymph nodes. The cancer marker, serum CEA also decreased from 5.2 ng/ml to 2.1 ng/ml. At present, the abdominal mass is not palpable and the patient is asymptomatic except for pigmentation and being followed up in the outpatient department. This case suggests the possibility that UFT may be effective for advanced gastric cancer with liver metastases.
一名62岁男性因上腹部肿块入院。剖腹探查发现为不可切除的胃癌、肝转移及区域淋巴结肿大。组织学检查显示为乳头管状腺癌。术后每日给予600毫克优福定治疗6个月后,X线和内镜检查显示胃癌有显著改善。计算机断层扫描和超声检查显示肝脏肿块消失,腹主动脉旁淋巴结大小显著减小。癌标志物血清癌胚抗原也从5.2纳克/毫升降至2.1纳克/毫升。目前,腹部肿块已触不到,除色素沉着外患者无症状,正在门诊随访。该病例提示优福定可能对伴有肝转移的晚期胃癌有效。