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[一例长期存活的胃癌肝转移患者,姑息手术后六年无复发迹象]

[A long-surviving case of gastric cancer with liver metastasis without signs of recurrence for six years after palliative operation].

作者信息

Kosaka T, Kayahara M, Yamaguchi A, Yonemura Y, Miwa K, Miyazaki I, Tomita F, Yoshimitsu S, Masuda S

出版信息

Gan No Rinsho. 1987 Feb;33(2):211-6.

PMID:3560453
Abstract

A 51-year-old man was admitted because of Borrmann 2 type gastric cancer located in the antrum. Since he had bilateral liver metastasis, palliative gastrectomy and liver biopsy was performed. Histopathologically, the primary cancer showed poorly differentiated adenocarcinoma and the liver biopsy showed the same. This patient has been alive without sign of recurrence for more than six years after he was given 40 mg of MMC, 12.5 KE of Picibanil and 528 g of PSK postoperatively. In addition, eight similar cases, with a survival rate of more than 5 years after resection of liver metastasis, have been reported in Japan and are reviewed.

摘要

一名51岁男性因胃窦部Borrmann 2型胃癌入院。由于他有双侧肝转移,遂行姑息性胃切除术及肝活检。组织病理学检查显示,原发性癌为低分化腺癌,肝活检结果相同。该患者术后接受了40毫克丝裂霉素、12.5KE沙培林和528克云芝多糖K治疗,至今已存活六年多,无复发迹象。此外,日本还报告了8例类似病例,肝转移切除术后生存率超过5年,并对这些病例进行了综述。

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