title: [A long-term survivor case with good quality of life due to biliary bypass and gemcitabine for advanced pancreatic cancer].
abstract: A 54-year-old man was admitted to the hospital because of upper abdominal pain and anorexia. Physical examination revealed jaundice, and abdominal CT demonstrated a pancreatic mass and dilatation of bile duct. The patient was operated with the diagnosis of pancreatic cancer. However, the pancreatic cancer was unresectable because of invasion of the surrounding organs and metastasis to paraaortic lymph nodes, so a biliary bypass was performed. After operation, chemotherapy using gemcitabine was performed in the outpatient clinic. He survived for more than two years and eleven months without recurrence of jaundice. Combination of biliary bypass and gemcitabine is considered helpful for good quality of life and long-term survival of a patient with advanced pancreatic cancer.
authors.affiliation: Dept. of Surgery, Kyushu Rosai Hospital.
authors.forename: Ryo
authors.initials: R
authors.lastname: Maeyama
authors.forename: Tokihiko
authors.initials: T
authors.lastname: Fukuyama
authors.forename: Katsuya
authors.initials: K
authors.lastname: Morimatsu
authors.forename: Toshihisa
authors.initials: T
authors.lastname: Tamura
authors.forename: Nami
authors.initials: N
authors.lastname: Ishikawa
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Hachiya
authors.forename: Tatsuhiko
authors.initials: T
authors.lastname: Sako
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Hirano
mesh_terms: D000230:Adenocarcinoma / Q000188:drug therapy* / Q000556:secondary / Q000601:surgery; D000964:Antimetabolites, Antineoplastic / Q000627:therapeutic use*; D001662:Biliary Tract Surgical Procedures / Q000379:methods; D003841:Deoxycytidine / Q000031:analogs & derivatives* / Q000627:therapeutic use; D004334:Drug Administration Schedule; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D011788:Quality of Life; D017741:Survivors; D000093542:Gemcitabine
chemical_list: D000964:Antimetabolites, Antineoplastic; D003841:Deoxycytidine; D000093542:Gemcitabine