[A case of small bowel cancer with positive peritoneal cytology and five-year recurrence-free survival].
Small bowel cancer is frequently detected at an advanced stage and its prognosis is poor. We report on a patient with small bowel cancer with positive peritoneal cytology who survived for 5 years without recurrence after surgery.The case involved a 73-year-old woman who had undergone partial resection of the small intestine and lymphadenectomy for a small bowel tumor with obstruction. Pathological examination confirmed papillary adenocarcinoma with partial serosal invasion. Ascites cytology indicated a class V tumor. Adjuvant chemotherapy with TS-1 was administered for 20 months, and the patient has survived without evidence of disease for over 5 years.In this case, it is possible that TS-1 chemotherapy was effective for prevention against small bowel cancer recurrence.Furthermore , peritoneal cytology in patients with small bowel cancer should be evaluated as a predictor of prognosis.
Dept. of Surgery, Osaka General Hospital of West Japan Railway Company.
Atsushi
A
Matsumura
Keiji
K
Shimizu
Keiji
K
Nishibeppu
Takehisa
T
Matsuyama
Shiro
S
Ogino
Manabu
M
Takemura
Tatsuro
T
Mugitani
Hidekazu
H
Ishida
Toshikazu
T
Akami
Shinji
S
Okano
D000231:Adenocarcinoma, Papillary / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D000368:Aged; D001201:Ascites / Q000209:etiology; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology*; D008197:Lymph Node Excision; D017640:Silicates / Q000627:therapeutic use; D014025:Titanium / Q000627:therapeutic use
D017640:Silicates; C103828:titanium silicide; D014025:Titanium