title: [A case of long-term survival following combined modality therapy for peritoneal disseminated recurrence of duodenal cancer].
abstract: A 65-year-old man was diagnosed with primary duodenal cancer and he underwent pancreaticoduodenectomy in June 2006. S-1 was administered as the postoperative adjuvant chemotherapy. A peritoneal disseminated recurrence was diagnosed together with a right reniportal node and right hydronephrosis in February 2007. A ureteral stent was inserted. DOC +S-1 combination therapy was administered from March 2007. Following progression of the recurrence, CDDP+S-1 combination therapy was administered from August 2007. Temporal diminution of the recurrence was achieved with radiotherapy from May to June 2009. Following re-progression of the recurrence, biweekly CPT-11 therapy was administered from February 2010. Weekly PTX therapy was administered from January 2011. The patient died due to progression of the recurrence in June 2011, 5 years after the operation. Our patient maintained a good quality of life and achieved long-term survival by combined modality therapy for peritoneal disseminated recurrence of duodenal cancer.
authors.affiliation: Dept. of Surgery, Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Kabashima
authors.forename: Kensuke
authors.initials: K
authors.lastname: Kudo
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Nakamura
authors.forename: Mizuki
authors.initials: M
authors.lastname: Ninomiya
authors.forename: Takayuki
authors.initials: T
authors.lastname: Hamatsu
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Hasegawa
authors.forename: Chie
authors.initials: C
authors.lastname: Ushijima
authors.forename: Masayuki
authors.initials: M
authors.lastname: Kitamura
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D004379:Duodenal Neoplasms / Q000473:pathology / Q000628:therapy*; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010534:Peritoneal Neoplasms / Q000556:secondary / Q000628:therapy*; D012008:Recurrence; D013997:Time Factors