A case of long-term survival of 5 years after operation and chemotherapy for type 4 gastric cancer with peritoneal dissemination期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

A case of long-term survival of 5 years after operation and chemotherapy for type 4 gastric cancer with peritoneal dissemination

Authors:	Yamada Takanobu Rino Yasushi Wada Nobuyuki Yukawa Norio Saeki Hiroyuki Arai Hiromasa Kanari Masahiro Nakayama Takahiro Masuda Munetaka Oshiro Hisashi Imada Toshio

Affiliation:	Dept. of Surgery, Yokohama City University, School of Medicine.

Abstract:	We report a case of long-term survival of 5 years after operation and chemotherapy for type 4 gastric cancer with peritoneal dissemination. A 41-year-old woman underwent total gastrectomy for type 4 gastric cancer with peritoneal dissemination and pancreas invasion. After operation, chemotherapy with S-1 plus PSK therapy, S-1 plus CDDP, and S-1 plus DOC was performed. The regimen of S-1 plus CDDP included S-1 on day 1-5, 8-12, 15-19, 22-26 and 2 weeks rest and PSK daily. After S-1 plus PSK therapy(34th course), peritoneal recurrence caused ileus, so a right hemicolonectomy was performed. Now the patient is undergoing weekly paclitaxel. The S-1 plus PSK therapy is able to prolong time to progression and has fewer adverse effects.

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