Gastric Cancer with Synchronism Virchow's Metastasis Surviving for 8-year Long-term by Chemotherapy with S-1 : Report of a Case
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A 74-year-old woman, type 3 gastric cancer pointed out with upper gastrointestinal endoscopy for examination of anemia and was introduced our hospital. The left supraclavicular lymph node of the approximately 10mm size was seen at the first visit. Distal gastrectomy, D2 dissection, left supraclavicular lymph node biopsy were performed in July, 2003, and it was diagnosed Virchow's metastasis of the gastric cancer. Chemotherapy by S-1 (80mg/body/day，day1-28, q6weeks) was started after surgery. The serum CEA level which showed high level before surgery was gradually normalized. It was able to maintain PR~SD including Virchow's metastasis after surgery until five years, but presented with para-aortic lymph node metastases. Therefore it was switched to S-1+CDDP from April, 2010 and to S-1+DOC more from January, 2011, but it became PD, and perform S-1 alone therapy again now. Eight years passed after surgery, but are living. We report a very rare case of gastric cancer surviving long-term with Virchow's metastasis.
- 日本外科系連合学会の論文
日本外科系連合学会 | 論文
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