A Case of Recurrence of Gastric Cancer Undergone Radiochemotheraphy Persisting for Six Years with Complete Response

Masakazu Fujii, Motonori Okino, Kentaro Fujioka, Katsuyuki Yamashita and Kimikazu Hamano*

Department of Surgery, Onoda City Hospital
First Department of Surgery, Yamaguchi University School of Medicine*

A 67-year-old man undergoing a routine physical examination, In November, 1997 was found in a gastroscopic examination to have stomach cancer when a Borrmann type II tumor was found at the major curvature of the lower gastric corpus, for which the man underwent distal partial gastrectomy D2 dissection, and Billroth II reconstruction on January, 1998. The lesion was classified as mp, n2, H0, P0, stage IIIA. Following surgery, he was treated with 300 mg/day of UFT via the oral route. CT conducted one year after surgery revealed hypertrophic paraaortic lymph nodes 30×25 mm. CEA had risen to 207.2 ng/dl. Under a diagnosis of recurrent gastric cancer, he was admitted on February, 1999, for radiochemotherapy. A total radiation dosage of 30 Gy was applied simultaneously with the administration of low-dose CDDP+UFT. CT after one and a half month on admission showed that PR had been achieved. On June, 1999, CEA was negative and his lymph nodes were not evident on CT, leading us to conclude that CR had been achieved, a condition that has been maintained for the 6 years up to the present. Radiochemotherapy using CDDP was indicated because of local recurrence in this case.

Key words
radiochemotherapy, ascites by peritonitis carcinomatous, paraaortic lymph node metastasis

Reprint requests
Masakazu Fujii Department of Surgery, Onoda City Hospital
1863-1 Higashitakatomari, Onoda, 756-0094 JAPAN

Accepted
June 22, 2005

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