内容紹介
Summary
A 49-year-old man was diagnosed with advanced gastric cancer, with a chief complaint of epigastric discomfort. Computed tomography revealed multiple liver metastases. S-1 plus cisplatin therapy was administered as first-line chemotherapy, and after 4 courses, the liver metastases markedly reduced. Total gastrectomy with D2 lymphadenectomy and a needle biopsy of segment 2 of the liver were performed. Histopathological examination revealed no viable cancer cells in the resected stomach, lymph nodes, or liver tissue. The primary tumor was defined as Grade 3 by histopathological examination. Adjuvant chemotherapy with S-1 was administered for 1 year. The patient is alive without recurrence more than 6 years after surgery.
要旨
症例は49歳,男性。胃癌同時性多発肝転移の診断で,S-1+cisplatin(SP)療法を施行した。4コース施行後,原発巣,肝転移巣ともに著明な縮小を認めたため手術を施行した。術中超音波検査で肝内に腫瘤は認められなかった。胃全摘術,D2郭清,肝生検を施行した。病理組織学的所見では原発巣,リンパ節,肝ともに腫瘍細胞は認めず,組織学的効果はGrade 3と診断した。S-1による術後補助化学療法を1年間行った。現在手術から6年以上経過し,無再発生存中である。
目次
A 49-year-old man was diagnosed with advanced gastric cancer, with a chief complaint of epigastric discomfort. Computed tomography revealed multiple liver metastases. S-1 plus cisplatin therapy was administered as first-line chemotherapy, and after 4 courses, the liver metastases markedly reduced. Total gastrectomy with D2 lymphadenectomy and a needle biopsy of segment 2 of the liver were performed. Histopathological examination revealed no viable cancer cells in the resected stomach, lymph nodes, or liver tissue. The primary tumor was defined as Grade 3 by histopathological examination. Adjuvant chemotherapy with S-1 was administered for 1 year. The patient is alive without recurrence more than 6 years after surgery.
要旨
症例は49歳,男性。胃癌同時性多発肝転移の診断で,S-1+cisplatin(SP)療法を施行した。4コース施行後,原発巣,肝転移巣ともに著明な縮小を認めたため手術を施行した。術中超音波検査で肝内に腫瘤は認められなかった。胃全摘術,D2郭清,肝生検を施行した。病理組織学的所見では原発巣,リンパ節,肝ともに腫瘍細胞は認めず,組織学的効果はGrade 3と診断した。S-1による術後補助化学療法を1年間行った。現在手術から6年以上経過し,無再発生存中である。