A case of long remission for about 5 years as an outpatient with second-line chemotherapy of weekly PTX after palliative distal gastrectomy for pStage IV advanced gastric cancer

Takashi Imamura, Satoru Chujo, Kumiko Suzuki, Hideaki Iwama, Shohei Kondo, Hirofumi Suwa, Jun Tamura, Tetsuo Katayama, Gakuji Ohshio

Research output: Contribution to journalArticlepeer-review

Abstract

A 59-year-old man underwent palliative distal gastrectomy for Stage IV advanced gastric cancer with cytological and histopathological peritoneal dissemination. After surgery, he began to receive chemotherapy by S-1 oral administration as an outpatient. About one year and 9 months after surgery, cartinomatous peritonitis grew, and severe obstruction of gastrojejunostomy and dilatation of residual stomach were detected by CT tomography. Then, second-line chemotherapy by weekly paclitaxel (PTX) was started. After one course of weekly PTX was completed, he was feeling better gradually with obvious improvement of carcinomatous peritonitis, which was revealed by sequential CT tomography examinations. Weekly PTX chemotherapy has been continued successfully for 43 courses, and he remains alive today with a good QOL, about 5 years after surgery. He is an outpatient with only a grade 2 or less complication of peripheral neuropathy.

Original languageEnglish
Pages (from-to)925-927
Number of pages3
JournalJapanese Journal of Cancer and Chemotherapy
Volume40
Issue number7
Publication statusPublished - 07-2013
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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