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[A case report of the 8 year survivor--unresectable liver metastases from advanced gastric cancer (Stage IV) were completely responsive, after 4 years from a total sequential gastrectomy, combining docetaxel treatment to regress the recurrence].
Iijima, Shohei; Kurokawa, Eiji; Kato, Takeshi; Tsujie, Masaki; Ohshima, Satoshi; Handa, Rio; Naoi, Yasuto; Yamamoto, Hitoshi; Kikkawa, Nobuteru.
Afiliación
  • Iijima S; Dept. of Surgery, Minoh City Hospital, Gastrointestinal Research Center.
Gan To Kagaku Ryoho ; 31(11): 1685-8, 2004 Oct.
Article en Ja | MEDLINE | ID: mdl-15553683
This case was a 69-year-old male who had advanced gastric cancer with unresectable multiple liver metastases (Stage IV). He received a combination therapy consisting of a continuous venous infusion (cisplatin: CDDP 10 mg/body, 5-FU 500 mg/body, day 1-28). As a result, metastatic tumors in the liver completely disappeared and a total gastrectomy was sequentially performed. Four years after the surgery, neck lymph node (LN) metastases and the right adrenal metastasis appeared, and chemotherapy (TS-1, and sequentially TS-1+CDDP) was performed. But, the chemotherapy to eradicate the metastases was hardly enough to be effective. Next, docetaxel (DOC 60 mg/m2 q3w) was started. After 9 courses, they were effective and marked regressions (70%). A total of 15 courses of docetaxel administration were possible until tumor progression recurred. This regimen was not severe in toxicity for the duration except for grade 3 poor appetite. Docetaxel will be a key drug for the gastric cancer. In case of responding well to the chemotherapy, we can hope for an extended long-term survival with a continuation of this regimen.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Protocolos de Quimioterapia Combinada Antineoplásica / Cisplatino / Taxoides / Fluorouracilo / Neoplasias Hepáticas / Antimetabolitos Antineoplásicos Límite: Aged / Humans / Male Idioma: Ja Revista: Gan To Kagaku Ryoho Año: 2004 Tipo del documento: Article Pais de publicación: Japón
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Protocolos de Quimioterapia Combinada Antineoplásica / Cisplatino / Taxoides / Fluorouracilo / Neoplasias Hepáticas / Antimetabolitos Antineoplásicos Límite: Aged / Humans / Male Idioma: Ja Revista: Gan To Kagaku Ryoho Año: 2004 Tipo del documento: Article Pais de publicación: Japón