Muroya Daisuke, Shirahama Nobuhisa, Arai Shoichiro, Goto Yuichi, Sato Toshihiro, Kishimoto Yukiya, Otsuka Hiroyuki, Yasunaga Masafumi, Ishikawa Hiroto, Sato Shinji, Kusano Hironori, Tayama Keiichiro, Okabe Masayuki, Okuda Koji, Tanaka Hiroyuki
Dept. of Surgery, Munakata Suikokai General Hospital.
Gan To Kagaku Ryoho. 2019 Dec;46(13):2258-2260.
A 69-year-old woman underwent extended cholecystectomy for gallbladder cancer[T2N0M0, fStage Ⅱ(UICC 7th edition)]. She was then administered adjuvant S-1 and was treated for drug-induced neutropenia. One year later, recurrent lesions were detected in liver S4 and S5. We treated the patient with hepatectomy and hepatic arterial infusion adjuvant chemotherapy by cisplatin, along with the systemic administration of gemcitabine for 10 months. The patient is now doing well without any sign of recurrence 29 months after the initial operation and 16 months after the secondary liver resection.
一名69岁女性因胆囊癌接受了扩大胆囊切除术[T2N0M0,fStageⅡ(国际抗癌联盟第7版)]。随后她接受了辅助性S-1治疗,并因药物性中性粒细胞减少症接受了相应治疗。一年后,在肝脏S4和S5区域发现复发病灶。我们对该患者进行了肝切除术,并通过顺铂进行肝动脉灌注辅助化疗,同时全身给予吉西他滨治疗10个月。患者在初次手术后29个月以及二次肝切除术后16个月,目前情况良好,无任何复发迹象。