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Ushida Y, Hiramatsu K, Saeki S, et al. Long-term survival of a patient with advanced gastric cancer with paraaortic lymph node metastasis who attained pathological complete response after S-1/CDDP chemotherapy: A case report. Int J Surg Case Rep. 2017;39:260-263doi: 10.1016/j.ijscr.2017.08.016.
Ushida, Y., Hiramatsu, K., Saeki, S., Amemiya, T., Goto, H., & Arai, T. (2017). Long-term survival of a patient with advanced gastric cancer with paraaortic lymph node metastasis who attained pathological complete response after S-1/CDDP chemotherapy: A case report. International journal of surgery case reports, 39260-263. https://doi.org/10.1016/j.ijscr.2017.08.016
Ushida, Yuta, et al. "Long-term survival of a patient with advanced gastric cancer with paraaortic lymph node metastasis who attained pathological complete response after S-1/CDDP chemotherapy: A case report." International journal of surgery case reports vol. 39 (2017): 260-263. doi: https://doi.org/10.1016/j.ijscr.2017.08.016
Ushida Y, Hiramatsu K, Saeki S, Amemiya T, Goto H, Arai T. Long-term survival of a patient with advanced gastric cancer with paraaortic lymph node metastasis who attained pathological complete response after S-1/CDDP chemotherapy: A case report. Int J Surg Case Rep. 2017;39:260-263. doi: 10.1016/j.ijscr.2017.08.016. Epub 2017 Aug 18. PMID: 28881333; PMCID: PMC5587894.
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Int J Surg Case Rep. 2017;39:260-263. doi: 10.1016/j.ijscr.2017.08.016. Epub 2017 Aug 18.

Long-term survival of a patient with advanced gastric cancer with paraaortic lymph node metastasis who attained pathological complete response after S-1/CDDP chemotherapy: A case report.

International journal of surgery case reports

Yuta Ushida, Kiyoshi Hiramatsu, Satomi Saeki, Takeshi Amemiya, Hidenari Goto, Toshiyuki Arai

Affiliations

  1. Department of Surgery, Anjo Kosei Hospital, 28 Higashihirokute, Anjo-cho, Anjo, Aichi 446-8602, Japan. Electronic address: [email protected].
  2. Department of Surgery, Anjo Kosei Hospital, 28 Higashihirokute, Anjo-cho, Anjo, Aichi 446-8602, Japan. Electronic address: [email protected].
  3. Department of Surgery, Anjo Kosei Hospital, 28 Higashihirokute, Anjo-cho, Anjo, Aichi 446-8602, Japan. Electronic address: [email protected].
  4. Department of Surgery, Anjo Kosei Hospital, 28 Higashihirokute, Anjo-cho, Anjo, Aichi 446-8602, Japan. Electronic address: [email protected].
  5. Department of Surgery, Anjo Kosei Hospital, 28 Higashihirokute, Anjo-cho, Anjo, Aichi 446-8602, Japan. Electronic address: [email protected].
  6. Department of Surgery, Anjo Kosei Hospital, 28 Higashihirokute, Anjo-cho, Anjo, Aichi 446-8602, Japan. Electronic address: [email protected].

PMID: 28881333 PMCID: PMC5587894 DOI: 10.1016/j.ijscr.2017.08.016

Abstract

INTRODUCTION: Gastric cancer with paraaortic lymph node (PAN) metastasis have unfavorable prognosis. There are no evidence-based preoperative chemotherapy regimens available.

CASE PRESENTATION: A 62-year-old female was diagnosed with advanced gastric cancer and PAN metastasis. We attempted S-1/CDDP chemotherapy in six coursed and total gastrectomy as well as systematic dissection of regional lymph nodes and PAN. Histologically, no cancerous cells were detected in specimens. The patient has been disease-free for 5 years since the surgery.

DISCUSSION: Long-term survival case of gastric cancer with PAN metastasis attaining pathologically complete response is extremely rare. It is possible that preoperative S1/CDDP with surgery might be a standard treatment strategy for gastric cancer with PANs.

CONCLUSION: We report herein a rare case of gastric cancer with PAN metastases who achieved a 5-year survival after S-1/CDDP chemotherapy and surgery.

Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Keywords: Gastric cancer; Paraaortic lymph node metastasis; Pathological complete response

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