Successful Treatment of an Unresectable Advanced Borrmann type IV Gastric Carcinoma with Combined Intraperitoneal and Intra-arterial Chemotherapy-A Case Report

Hitoshi Funahashi, Yoshimi Akamo, Hiromitsu Takeyama, Noriaki Mohri, Takehiro Wakasugi, Futoshi Teranishi, Tetsushi Hayakawa, Takuji Fukui, Moritsugu Tanaka and Tadao Manabe

First Department of Surgery, Nagoya City University Medical School

We report effective intraperitoneal and intraarterial combined chemotherapy for unresectable advanced Borrmann type IV gastric carcinoma. A 59-year-old man diagnosed with advanced stomach cancer in June 1999 was found at operation to have advanced gastric carcinoma T4 N3 P1 H0 M1 CY1. Three ports to both subphrenic pouches and Douglas' pouch were emplaced for intraperitoneal infusion chemotherapy with a modified low-dose CDDP and 5FU regimen. An artery port was also introduced into the aorta at Th9/10 for arterial infusion chemotherapy in September 1999. The patient was followed up as an outpatient and continued to undergo intraperitneal and intraarterial combined chemotherapy. With this approach, the patient's QOL could be maintained during chemotherapy

Key words
advanced Borrmann type IV gastric cartinoma, Intraperitoneal and intra-arterial combined chemotherapy, QOL

Reprint requests
Hitoshi Funahashi First Department of Surgery, Nagoya City University Medical School 1 Kawasumi, Mizuho-ku Nagoya, 467-8601 JAPAN

Accepted
June 26, 2001

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