Effective Use of Gemcitabine in the Treatment of Undifferentiated Carcinoma with Osteoclast-Like Giant Cells of the Pancreas with Portal Vein Tumor Thrombus
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概要
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A 74-year-old woman had an undifferentiated carcinoma with osteoclast-like giant cells (UCWOGC) in the body of the pancreas with massive portal vein tumor thrombus (PVTT). Because the PVTT progressed so rapidly into the right portal branch, the patient first underwent distal pancreatectomy and tumor thrombectomy to prevent life-threatening portal venous obstruction. Although a recurrent PVTT had developed early postoperatively, systemic gemcitabine treatment was so effective that it induced complete remission 5 months after the initiation of chemotherapy. The patient continued to be in complete response for 12 months, and has survived for 19 months since surgery.
著者
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Watanabe Go
Department Of Applied Physics Graduate School Of Science And Engineering Waseda University
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Yoshioka Toshiaki
Department Of Applied Chemistry Graduate School Of Engineering Tohoku University
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Yoshioka Masato
Department Of Applied Chemistry Graduate School Of Engineering Hiroshima University
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Nakagawa Yasuhiko
Department Of Cardiology Izumisano Municipal Hospital Rinku General Medical Center
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Yamamoto Yuzo
Department Of Gastroenterological Surgery Akita University Graduate School Of Medicine
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Takahashi Tomokazu
Department Of Computer And Information Sciences Ibaraki University
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Yoshioka Masato
Department of Gastroenterological Surgery, Akita University Graduate School of Medicine, Japan
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Uchinami Hiroshi
Department of Gastroenterological Surgery, Akita University Graduate School of Medicine, Japan
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Nanjo Hiroshi
Department of Chemical Engineering, Yamagata University
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Andoh Hideaki
Depart. of Surg., Aomori Prefectural Central Hosp.
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Takahashi Tomokazu
Department of Gastroenterological Surgery, Akita University Graduate School of Medicine, Japan
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