[A case of multiple bone metastases from gastric cancer successfully treated with chemo-radiotherapy].
A 75-year-old man underwent distal gastrectomy for gastric cancer (CY+, Stage IV) in June 2009. About 4 months after surgery, he had a strong pain in a right shoulder, and became writing difficulty. Some imaging examinations revealed multiple bone metastases, and it was diagnosed that the pain was caused by the tumor of cervical spine. Systemic chemotherapy was started using a regimen of S-1/CDDP, and radiotherapy (30 Gy) was performed for the cervical tumor at the same time. After two-course of the chemotherapy, the shoulder pain disappeared. About 12 months after surgery, he had a strong pain in a left leg, and became walking difficulty. Some imaging examinations revealed a progression of the tumor of lumbar spine. Radiotherapy (30 Gy) was demonstrated for the tumor. After the treatment, the leg pain disappeared. We experienced a case of multiple bone metastases successfully treated with chemo-radiotherapy.
Dept. of Surgery, Suita Municipal Hospital.
Kazuyuki
K
Okada
Chikara
C
Ebisui
Kentaro
K
Maruyama
Masahiro
M
Murakami
Tetsu
T
Yanagisawa
Yoshihito
Y
Ide
Kohei
K
Murata
Hideoki
H
Yokouchi
Koji
K
Mikami
Masakatsu
M
Kinuta
D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000556:secondary / Q000628:therapy*; D059248:Chemoradiotherapy; D002945:Cisplatin / Q000008:administration & dosage / Q000627:therapeutic use; D017809:Fatal Outcome; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011788:Quality of Life; D013274:Stomach Neoplasms / Q000473:pathology / Q000628:therapy*; D014057:Tomography, X-Ray Computed
D002945:Cisplatin