A Case of Advanced Gastric Cancer with Multiple Liver Metastases Treated with Curative Conversion Therapy after S-1 plus CDDP

A57 -year-old man was diagnosed with advanced gastric cancer(adenocarcinoma[tub2/por1])with multiple(S3, S4, S5, S6, S8)liver and para-aortic lymph node metastases. The tumor was classified as cT4a, N3, M1, HEP, cStage IV, and the patient received chemotherapy with S-1 plus CDDP(SP). After 10 course...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 45; no. 3; p. 480
Main Authors Shindo, Yukito, Fukuda, Shinichiro, Kataoka, Ryoko, Kuwamoto, Nobutsuna, Takaishi, Hitomi, Miura, Yasuaki, Hirayama, Ryoichi, Otsuka, Ryo, Saito, Shuji, Fujita, Rikiya
Format Journal Article
LanguageJapanese
Published Japan 01.03.2018
Subjects
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Cisplatin - administration & dosage
Digestive System Surgical Procedures
Drug Combinations
Humans
Liver Neoplasms - drug therapy
Liver Neoplasms - secondary
Male
Middle Aged
Neoadjuvant Therapy
Oxonic Acid - administration & dosage
Stomach Neoplasms - drug therapy
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Tegafur - administration & dosage
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Summary:A57 -year-old man was diagnosed with advanced gastric cancer(adenocarcinoma[tub2/por1])with multiple(S3, S4, S5, S6, S8)liver and para-aortic lymph node metastases. The tumor was classified as cT4a, N3, M1, HEP, cStage IV, and the patient received chemotherapy with S-1 plus CDDP(SP). After 10 courses of SP, a CT scan revealed that the primary tumor and the metastases disappeared. The patient presented with cCR and underwent distal gastrectomy, D2 lymph node dissection, partial hepatic resection, and cholecystectomy. The histological diagnosis was classified as ypT0N0M0,(ypStage 0), pCR, and pathological Grade 3.
ISSN:0385-0684