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Yamano T, Morii E, Arai I, et al. Successful treatment of recurrent small bowel adenocarcinoma by cytoreductive surgery and chemotherapy: a case report and review of the literature. J Med Case Rep. 2010;4:213doi: 10.1186/1752-1947-4-213.
Yamano, T., Morii, E., Arai, I., Takada, T., & Aozasa, K. (2010). Successful treatment of recurrent small bowel adenocarcinoma by cytoreductive surgery and chemotherapy: a case report and review of the literature. Journal of medical case reports, 4213. https://doi.org/10.1186/1752-1947-4-213
Yamano, Tomoki, et al. "Successful treatment of recurrent small bowel adenocarcinoma by cytoreductive surgery and chemotherapy: a case report and review of the literature." Journal of medical case reports vol. 4 (2010): 213. doi: https://doi.org/10.1186/1752-1947-4-213
Yamano T, Morii E, Arai I, Takada T, Aozasa K. Successful treatment of recurrent small bowel adenocarcinoma by cytoreductive surgery and chemotherapy: a case report and review of the literature. J Med Case Rep. 2010 Jul 17;4:213. doi: 10.1186/1752-1947-4-213. PMID: 20637117; PMCID: PMC2917439.
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J Med Case Rep. 2010 Jul 17;4:213. doi: 10.1186/1752-1947-4-213.

Successful treatment of recurrent small bowel adenocarcinoma by cytoreductive surgery and chemotherapy: a case report and review of the literature.

Journal of medical case reports

Tomoki Yamano, Eiichi Morii, Isao Arai, Toshiaki Takada, Katsuyuki Aozasa

Affiliations

  1. Department of Surgery, Kawachi General Hospital, 1-31 Yokomakura, Higashiosaka, Osaka 578-0954, Japan. [email protected].

PMID: 20637117 PMCID: PMC2917439 DOI: 10.1186/1752-1947-4-213

Abstract

INTRODUCTION: Small bowel adenocarcinoma is a rare malignancy associated with a poor prognosis and there is little evidence of effective treatment. Recurrent small bowel adenocarcinoma is an intractable disease for which there is little information available regarding its treatment by palliative therapy. We present a case of recurrent small bowel adenocarcinoma successfully treated by cytoreductive surgery and palliative chemotherapy.

CASE PRESENTATION: We report the case of a 72-year-old Japanese female who developed a peritoneal metastasis from recurrent small bowel adenocarcinoma after curative resection and adjuvant chemotherapy with S-1 and polysaccharide K. She underwent cytoreductive surgery followed by chemotherapy with folinic acid/fluorouracil/oxaliplatin and folinic acid/fluorouracil/irinotecan with polysaccharide K. Subsequently, no sign of a recurrence was observed 42 months after the second operation.

CONCLUSION: To the best of our knowledge, this is the first case report of the successful treatment of peritoneal metastasis from small bowel adenocarcinoma by cytoreductive surgery and combination chemotherapy (folinic acid/fluorouracil/oxaliplatin and folinic acid/fluorouracil/irinotecan with polysaccharide K).

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