Autor: |
Shinichiro, Kameyama, Kazuki, Sugata, Haruka, Motonari, Yoshiki, Hori, Junya, Arakaki, Hironori, Samura, Yoshitetsu, Nagamine, Fumiko, Kohakura, Tomonari, Ishimine |
Rok vydání: |
2019 |
Předmět: |
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Zdroj: |
Gan to kagaku ryoho. Cancerchemotherapy. 46(10) |
ISSN: |
0385-0684 |
Popis: |
An 82-year-old man was referred to our hospital after a hepatic tumor was identified on ultrasonography.Computed tomography(CT)revealed a hypovascular tumor measuring 3 cm in diameter in the lateral section.He was diagnosed as having intrahepatic cholangiocarcinoma(ICC), and a left hemihepatectomy was performed in November 2012. During the postoperative follow-up in August 2013, CT revealed swollen lymph nodes around the greater curvature of the stomach and upper edge of the pancreas.By using endoscopic ultrasonography fine-needle aspiration(EUS-FNA), lymph node metastases of the ICC was diagnosed.S -1 monotherapy was initiated instead of gemcitabine and cisplatin regimens because of renal dysfunction.In July 2014, CT revealed that both lymph nodes were shrinking, and in January 2015, S-1 administration was discontinued upon the patient's request.However, the patient survived for 4 years without S-1 administration, and no recurrent tumors were recognized on CT in November 2018.O ur diagnosis indicates complete remission. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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