内容紹介
An 84-Year-Old Man with Highly Advanced Gastric Cancer Showing Good Response after Chemotherapy with Docetaxel, Cisplatin and S-1 Combination Therapy
Summary
An 84-year-old man had the wall thickness of his stomach accidentally detected by CT scan, and was diagnosed as type 2 advanced gastric cancer with liver and lung metastasis. Chemotherapy with docetaxel, cisplatin and S-1 combination therapy was adopted. Grade 4 neutropenia was revealed, but the treatment could be continued by G-CSF or by down dosing the anticancer agents. By maintaining CR of the primary lesion and PR of the liver and lung metastases, he has been kept at a PS 0 state and has been receiving regular outpatient treatment for 28 months now since the beginning of treatment.
要旨
症例は84歳,男性。CTで偶発的に胃壁肥厚を指摘された。上部消化管内視鏡検査にて胃角部に2型胃癌(tub2-por2)を指摘された。当科紹介受診後,肝転移および肺転移を指摘され,手術を断念しmodified DCS療法を開始した。有害事象としてgrade 4(CTCAE v4.0)の好中球減少を認めたが,G-CSFの併用および減量しながら9コース施行した。原発巣CR,肝転移,肺転移巣はPRを維持しながら化学療法開始後28か月経過した現在,元気に外来通院加療中である。
目次
Summary
An 84-year-old man had the wall thickness of his stomach accidentally detected by CT scan, and was diagnosed as type 2 advanced gastric cancer with liver and lung metastasis. Chemotherapy with docetaxel, cisplatin and S-1 combination therapy was adopted. Grade 4 neutropenia was revealed, but the treatment could be continued by G-CSF or by down dosing the anticancer agents. By maintaining CR of the primary lesion and PR of the liver and lung metastases, he has been kept at a PS 0 state and has been receiving regular outpatient treatment for 28 months now since the beginning of treatment.
要旨
症例は84歳,男性。CTで偶発的に胃壁肥厚を指摘された。上部消化管内視鏡検査にて胃角部に2型胃癌(tub2-por2)を指摘された。当科紹介受診後,肝転移および肺転移を指摘され,手術を断念しmodified DCS療法を開始した。有害事象としてgrade 4(CTCAE v4.0)の好中球減少を認めたが,G-CSFの併用および減量しながら9コース施行した。原発巣CR,肝転移,肺転移巣はPRを維持しながら化学療法開始後28か月経過した現在,元気に外来通院加療中である。