[Pathological complete response in advanced gastric carcinoma by S-1/CDDP combination chemotherapy].

Autor: Toriumi F; Division of Surgery, Saiseikai Central Hospital, Japan., Ei S, Takahashi H, Okada R, Masai K, Mito M, Ishimaru N, Mizuno K, Handa K, Yamanashi T, Koshida Y, Akamatsu H, Motegi K, Tajima T, Mukai K, Shimoyama Y
Jazyk: japonština
Zdroj: Gan to kagaku ryoho. Cancer & chemotherapy [Gan To Kagaku Ryoho] 2011 Jul; Vol. 38 (7), pp. 1183-6.
Abstrakt: A59 -year-old woman was referred to our hospital for a close examination and treatment of an advanced gastric carcinoma. A physical examination and CT scan showed that the right cervical and axillar lymph nodes were swelling, and a histopathological examination of the axillar lymph node revealed metastatic growth of the gastric carcinoma (Stage IV). Then, we started S-1/CDDP combination chemotherapy. S-1 (80 mg/m2/day)was orally administered for 3 weeks followed by 2 weeks of rest, and CDDP (60 mg/m2) was administered by drip on day 8. Since the distant metastases were greatly reduced after 6 courses of combination therapy, a distal gastrectomy with lymph nodes dissection (D2) was performed. Histopathological examination of the resected tissues revealed no residual cancer cells, suggesting a pathologically complete response. The clinical course after the operation went well without any complications, and the patient is alive with no evidence of recurrence 1 year after surgery. S-1/CDDP combination chemotherapy appears to be one of the effective treatments for advanced gastric carcinoma.
Databáze: MEDLINE