rdf:type |
|
lifeskim:mentions |
|
pubmed:issue |
7
|
pubmed:dateCreated |
2008-7-17
|
pubmed:abstractText |
A 75-year-old man with advanced gastric cancer underwent distal gastrectomy with lymph node dissection(D1)and Roux-en Y reconstruction. Pathological staging was Stage IV (T3N3P1CY1M1), and curability was Cur C. He started adjuvant chemotherapy with oral administration of S-1(100 mg/body weight), but experienced grade 3 anorexia for one month. Abdominal computed tomography(CT)2 months postoperatively showed multiple liver metastases and ascites. We then conducted tailored S-1/CPT-11 as second-line chemotherapy(S-1 80 mg/body weight on days 1-5 and 8-12, CPT-11 60 mg/body weight on days 1 and 8). After 5 courses of this therapy, CT showed that the liver metastases and ascites had disappeared, leading to a complete response(CR). The only adverse event was general grade 1 fatigue. He continues to undergo oral administration of S-1(80 mg/body weight)as maintenance therapy, and maintained CR for 12 months since undergoing chemotherapy. Adverse events in tailored S-1/CPT-11 combination therapy are mild and tolerable, making this regimen a potential therapeutic strategy for patients with advanced or recurrent gastric cancer.
|
pubmed:language |
jpn
|
pubmed:journal |
|
pubmed:citationSubset |
IM
|
pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:month |
Jul
|
pubmed:issn |
0385-0684
|
pubmed:author |
pubmed-author:AraiHirokiH,
pubmed-author:KashiwabaraMotoM,
pubmed-author:MaruyamaHiroshiH,
pubmed-author:MatsudaAkihisaA,
pubmed-author:MatsushitaAkiraA,
pubmed-author:MatsutaniTakeshiT,
pubmed-author:MiyamotoMasayukiM,
pubmed-author:MizutaniTakashiT,
pubmed-author:NishiYoshifumiY,
pubmed-author:SasajimaKojiK,
pubmed-author:SuzukiSeijiS,
pubmed-author:TajiriTakashiT,
pubmed-author:YanagiKenK,
pubmed-author:YokoyamaTadashiT
|
pubmed:issnType |
Print
|
pubmed:volume |
35
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1193-5
|
pubmed:meshHeading |
pubmed-meshheading:18633261-Aged,
pubmed-meshheading:18633261-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:18633261-Camptothecin,
pubmed-meshheading:18633261-Drug Combinations,
pubmed-meshheading:18633261-Gastroscopy,
pubmed-meshheading:18633261-Humans,
pubmed-meshheading:18633261-Liver Neoplasms,
pubmed-meshheading:18633261-Male,
pubmed-meshheading:18633261-Neoplasm Staging,
pubmed-meshheading:18633261-Oxonic Acid,
pubmed-meshheading:18633261-Peritoneal Neoplasms,
pubmed-meshheading:18633261-Stomach Neoplasms,
pubmed-meshheading:18633261-Tegafur,
pubmed-meshheading:18633261-Tomography, X-Ray Computed,
pubmed-meshheading:18633261-Tumor Markers, Biological
|
pubmed:year |
2008
|
pubmed:articleTitle |
[A case of Stage IV gastric cancer with liver and peritoneal metastases responding completely to tailored S-1/CPT- 11 combination therapy].
|
pubmed:affiliation |
Dept. of Surgery, Nippon Medical School Tama- Nagayama Hospital.
|
pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|