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A Case of Advanced Gastric Cancer With Long-Term Survival as the Results of Combined Radiation Therapy and Chemotherapy
Authors:TSUKIYAMA, IWAO   WATAI, KIICHI   YANAGAWA, SHIGEO   AKINE, YASUYUKI   ONO, RYOSUKE   EGAWA, SUNAO   HIROTA, TERUYUKI   YOSHIDA, SHIGEAKI   YAMAGUCHI, HAJIME   USHIO, KYOSUKE   KITAGAWA, TOSHIO
Affiliation:1Department of Radiation Therapy, National Cancer Center Hospital Tokyo
2Department of Pathology, National Cancer Center Hospital Tokyo
3Department of Endoscopy, National Cancer Center Hospital Tokyo
4Department of Radiolgical Diagnosis, National Cancer Center Hospital Tokyo
5Department of Radiology, University of Tsukuba School of Medicine
Abstract:
A case report on a long-term surviving patient with advancedgastric cancer with supraclavicular lymph node metastasis treatedby radiation and chemotherapy is presented. The Borrman type 2 of advanced gastric cancer was found on thegreater curvature of the antrum at the first radiological examination. Radiation was administered to the supraclavicular lymph nodeat 60 Gy and to the stomach at 64 Gy. The patient received mitomycinC (24 mg) and Tegafur (230 g). After completion of the combinedtherapy the endoscopy revealed an irregular mucosal change witherosion and hemorrhage. Radiological examination revealed atrophicand hyperplastic areas throughout the stomach. These findingslasted more than six years. The patient died of unknown causein February 1983. She had survived nine years and seven monthsafter her initial diagnosis. Radiotherapy may play a role asa means of radical treatment in certain cases of advanced gastriccancer.
Keywords:Gastric cancer    Radiotherapy    Chemotherapy
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