A Patient with Stage IV Gastric Cancer Who Survived More Than Five Years after Gastrectomy

The prognosis of patients with Stage IV gastric cancer is generally poor. The 5-year overall survival rate is less than 10%. The patient was a 73-year-old man with Stage IV gastric cancer. Before chemotherapy, peritoneal dissemination was observed using staging laparoscopy. The patient received firs...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 43; no. 12; p. 2371
Main Authors Takaoka, Ayumi, Usui, Shinsuke, Kumaki, Yuuichi, Akutsu, Tomohiro, Matsunaga, Hiroko, Tashiro, Masaki, Arita, Kaida, Haruki, Shigeo, Ito, Koji, Matsumoto, Akiyo, Takiguchi, Noriaki
Format Journal Article
LanguageJapanese
Published Japan 01.11.2016
Subjects
Aged
Gastrectomy
Humans
Male
Neoplasm Staging
Peritoneal Neoplasms - drug therapy
Peritoneal Neoplasms - secondary
Stomach Neoplasms - diagnosis
Stomach Neoplasms - drug therapy
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Time Factors
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Summary:The prognosis of patients with Stage IV gastric cancer is generally poor. The 5-year overall survival rate is less than 10%. The patient was a 73-year-old man with Stage IV gastric cancer. Before chemotherapy, peritoneal dissemination was observed using staging laparoscopy. The patient received first-line chemotherapy with TS-1 plus CDDP. Renal function worsened and consequently the therapy was stopped. He received 3 courses of chemotherapy with weekly PTX. The peritoneal dissemination had disappeared by the second staging laparoscopy and he underwent distal gastrectomy. The final diagnosis was pT4a, ly2, v1, pN2(4/16),M0, fStage III B. The patient received adjuvant chemotherapy of TS-1 for 4 years and 8months after gastrectomy. More than 5 year after gastrectomy, the patient is alive without recurrence.
ISSN:0385-0684