title: [A case of gastric cancer with virchow and para-aortic node metastasis treated successfully by neo-adjuvant chemotherapy with S-1/CDDP].
abstract: A 61-year-old female visited our hospital with the complaint of a left cervical hard tumor. Systemic examination revealed advanced gastric carcinoma with nodal involvement of para -aortic and Virchow's lymph nodes. Neoadjuvant chemotherapy with S-1/cisplatin(CDDP)combination therapy was scheduled. Three courses of chemotherapy resulted in marked tumor regression and a reduction of lymph nodes. Total gastrectomy and D2+para-aortic node dissection were performed. The histological examination revealed complete disappearance of cancer cells in the gastric and nodal specimens, confirming a pathological complete response. The patient underwent postoperative adjuvant chemotherapy, and has been alive 5 years postoperatively without recurrence.
authors.affiliation: Dept. of Surgery, Medical Corporation Nogami Hospital, Japan.
authors.forename: Taiichiro
authors.initials: T
authors.lastname: Kanagawa
authors.forename: Takaomi
authors.initials: T
authors.lastname: Ookawa
authors.forename: Hiromi
authors.initials: H
authors.lastname: Nogami
authors.forename: Takuji
authors.initials: T
authors.lastname: Kobatake
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001011:Aorta / Q000473:pathology; D002945:Cisplatin / Q000008:administration & dosage; D004338:Drug Combinations; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008875:Middle Aged; D020360:Neoadjuvant Therapy; D010094:Oxonic Acid / Q000008:administration & dosage; D013274:Stomach Neoplasms / Q000188:drug therapy* / Q000601:surgery; D005641:Tegafur / Q000008:administration & dosage
chemical_list: D004338:Drug Combinations; C079198:S 1 (combination); D005641:Tegafur; D010094:Oxonic Acid; D002945:Cisplatin