Japanese

Two Patients with Inoperable Gastric Cancer Who Survived More Than 10 Years after Successful Chemotherapy Yoshinori Miyata 1 1Department of Gastroenterology, Saku Central Hospital Keyword: 胃癌 , 化学療法 , リンパ節転移 , cisplatin pp.1051-1056
Published Date 2005/6/25
DOI https://doi.org/10.11477/mf.1403100224
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We report the case of two patients with advanced gastric cancer who were treated successfully and survived longer than 10 years. The first patient was a 58-year-old male, who was referred for evaluation of anorexia and cervical lymphadenopathy. Given a diagnosis of gastric cancer with cervical- and abdominal-node metastases, he was treated with etoposide, doxorubicin, and cisplatin(EAP). Because the overall response was good PR, the laparotomy performed revealed a pathological CR. The second patient was a 53-year-old male, who was referred for evaluation of anorexia. Given a diagnosis of gastric cancer with abdominal-node metastases, he was treated with 6 courses of EAP, which resulted in a good PR. Partial gastrectomy to remove the remaining lesion was performed. Histologic examination revealed a pathological CR. One year later, he was found to have brain metastases and was treated with irradiation successfully. Both patients are still alive with no evidence of disease. Patients with node-positive gastric cancer are good candidates for intensive chemotherapy because they have some chance to achieve a pathological CR and subsequent long survival.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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