内容紹介
Summary
A 41-year-old woman with type 3 advanced gastric cancer and Virchow lymph node, para-aortic lymph node, and multiple bone metastases was diagnosed with U-less cType 3 cT4aN3M1, cStage Ⅳ. We administered docetaxel, cisplatin, and S-1(DCS)therapy for unresectable gastric cancer. After 11 courses of DCS, we confirmed that the distant lymph node metastases were significantly reduced. We performed radiotherapy(30 Gy/10 Fr)on the thoracic lumber vertebrae. Because the patient was successfully downstaged, we performed total gastrectomy with Roux-en-Y reconstruction. The histopathological diagnosis was ypT3N2M0, ypStage ⅢA. In this case, DCS therapy successfully treated gastric cancer with distant metastases, including multiple bone metastases.
要旨
多発骨転移とVirchowリンパ節および傍大動脈リンパ節転移を伴う切除不能進行胃癌で,分割DCSが奏効しconversion surgeryでR0切除が可能となった1例を経験した。
目次
A 41-year-old woman with type 3 advanced gastric cancer and Virchow lymph node, para-aortic lymph node, and multiple bone metastases was diagnosed with U-less cType 3 cT4aN3M1, cStage Ⅳ. We administered docetaxel, cisplatin, and S-1(DCS)therapy for unresectable gastric cancer. After 11 courses of DCS, we confirmed that the distant lymph node metastases were significantly reduced. We performed radiotherapy(30 Gy/10 Fr)on the thoracic lumber vertebrae. Because the patient was successfully downstaged, we performed total gastrectomy with Roux-en-Y reconstruction. The histopathological diagnosis was ypT3N2M0, ypStage ⅢA. In this case, DCS therapy successfully treated gastric cancer with distant metastases, including multiple bone metastases.
要旨
多発骨転移とVirchowリンパ節および傍大動脈リンパ節転移を伴う切除不能進行胃癌で,分割DCSが奏効しconversion surgeryでR0切除が可能となった1例を経験した。