Advanced Gastric Cancer with Virchow's Lymph Node Metastasis-A Long-Term Survival Case

A 36-year-old woman presented to our hospital with a complaint of melena. Examinations revealed type 3 gastric cancer with left supraclavicular lymph node(Virchow's node)and para-aortic lymph node(PAN)metastases. The patient was treated with S-1 and CDDP combination chemotherapy. After 2 course...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 51; no. 8; p. 821
Main Authors Kobayashi, Terutada, Sato, Ryuichiro, Kaneko, Naoyuki, Sato, Jun, Kakugawa, Yoichiro, Funayama, Yuji
Format Journal Article
LanguageJapanese
Published Japan 01.08.2024
Subjects
Adult
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Cisplatin - administration & dosage
Drug Combinations
Female
Gastrectomy
Humans
Lymph Node Excision
Lymphatic Metastasis
Oxonic Acid - administration & dosage
Oxonic Acid - therapeutic use
Stomach Neoplasms - drug therapy
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Tegafur - administration & dosage
Tegafur - therapeutic use
Time Factors
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Summary:A 36-year-old woman presented to our hospital with a complaint of melena. Examinations revealed type 3 gastric cancer with left supraclavicular lymph node(Virchow's node)and para-aortic lymph node(PAN)metastases. The patient was treated with S-1 and CDDP combination chemotherapy. After 2 courses of chemotherapy, the lymph node metastases were significantly reduced. Subsequently, a total gastrectomy with D2 plus PAN dissection was performed. Histopathological examination revealed the complete absence of cancer cells in both the primary lesion of the stomach and all dissected lymph nodes. No additional surgery or radiation therapy was performed for Virchow's node metastasis. Postoperatively, she received S-1 chemotherapy for 2.5 years. She remains well 9.5 years after the surgery, without any evidence of recurrent disease.
ISSN:0385-0684