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Chemotherapy of Gastric Cancer with Complete Endoscopic Remission: Report of a Case
Author(s) -
YANG HongJen,
WANG JinTown,
UEN WuChing,
LIN JawTown,
WANG TehHong
Publication year - 1992
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1992.tb00111.x
Subject(s) - medicine , curvatures of the stomach , cancer , chemotherapy , metastasis , biopsy , cisplatin , stomach , lymph , left gastric artery , gastroenterology , radiology , pathology
We report on a case of a 31‐year‐old male patient who had advanced gastric cancer with distant lymph node and liver metastasis. A panendoscopy revealed a huge Borrmann's type III advanced gastric cancer involving the esophago‐cardiac junction, cardia, fundus, body, angle and part of the antrum. After 2 courses of VP‐16, adriamycin, cisplatin (EAP), a 4 cm diameter benign looking ulcer was noted at the lesser curvature side of the high to mid‐body. After 4 courses of EAP, a long linear scar was noted at the cardia to low body, while the biopsy revealed only chronic inflammation. A follow‐up abdominal echo and CT scans indicated a complete disappearance of liver metastasis and lymphadenopathy. Although recurrence was noted 2 months later, the new chemotherapy protocol provides a promising treatment for unresectable gastric cancer.