title: [A case report of intra-operative radiotherapy and gemcitabine for unresectable pancreatic body cancer].
abstract: We report an effective case of fifty-seven year-old female with unresectable pancreatic cancer. Its chief complaint of the case was epigastralgia in April 2007, and the diagnosis was locally-advanced cancer of pancreatic body (4 cm, Stage IVa) in June 2007. Laparotomy was performed, but the locally-advanced cancer was unresectable because of the invasion to the celiac trunk and superior mesenteric artery. Tumor biopsy and intra-operative radiotherapy (IORT, 12 MeV, 20 Gy) were only performed. The result of biopsy was moderately-differentiated adenocarcinoma. After laparoptomy, systemic chemotherapy (gemcitabine 1,000 mg/body) was performed once a week. After 4-set chemotherapy, her cancer pain was completely relieved and the tumor size was decreased to 25 mm on CT scan in October 2007. She has been treated as an outpatient.
authors.affiliation: Dept. of Surgery, Ohkubo Hospital.
authors.forename: Eigo
authors.initials: E
authors.lastname: Satoh
authors.forename: Michio
authors.initials: M
authors.lastname: Maruyama
authors.forename: Toshihisa
authors.initials: T
authors.lastname: Koike
authors.forename: Youichiro
authors.initials: Y
authors.lastname: Shima
authors.forename: Ryouki
authors.initials: R
authors.lastname: Ohinata
authors.forename: Ayaki
authors.initials: A
authors.lastname: Koide
authors.forename: Takahiro
authors.initials: T
authors.lastname: Sanada
authors.forename: Shouji
authors.initials: S
authors.lastname: Maruyama
authors.forename: Masakazu
authors.initials: M
authors.lastname: Ebuchi
authors.forename: Takaaki
authors.initials: T
authors.lastname: Sakoma
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use; D014408:Biomarkers, Tumor / Q000097:blood; D003131:Combined Modality Therapy; D003841:Deoxycytidine / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007261:Infusions, Intra-Arterial; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000097:blood / Q000188:drug therapy* / Q000532:radiotherapy* / Q000601:surgery; D000093542:Gemcitabine
chemical_list: D014408:Biomarkers, Tumor; D003841:Deoxycytidine; D000093542:Gemcitabine