title: [A Case of Gastric and Pancreatic Cancer Resected with Curative Intent while Preserving Organ Function].
abstract: A 57-year-old woman was diagnosed with a pancreatic tumor. Abdominal computed tomography showed cStage Ⅳa pancreatic cancer with a 20×16 mm tumor near the base of the celiac artery. Since the tumor contacted the SMA at an angle of 90 degrees, it was judged as a borderline resectable tumor. In addition, cStage ⅠB gastric cancer was found in the corpus ventriculi. Since the patient had a respiratory complication, a distal pancreatectomy with celiac axis resection in combination with a total gastrectomy was considered too aggressive for this patient. Therefore, she received chemoradiotherapy prior to the surgery. Distal pancreatectomy with D2 lymphadenectomy and subtotal gastrectomy with lower left phrenic artery preservation was performed. This case involved a considerable extension of the disease and radical surgery; however, currently the patient's prognosis and QOL are good.
authors.affiliation: Dept. of General and Digestive Surgery, Kanazawa Medical University.
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Ueda
authors.forename: Seiko
authors.initials: S
authors.lastname: Miura
authors.forename: Emi
authors.initials: E
authors.lastname: Morioka
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kaida
authors.forename: Yasuto
authors.initials: Y
authors.lastname: Tomita
authors.forename: Toshio
authors.initials: T
authors.lastname: Ohonishi
authors.forename: Yukako
authors.initials: Y
authors.lastname: Ohono
authors.forename: Miki
authors.initials: M
authors.lastname: Noguchi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Funaki
authors.forename: Hideto
authors.initials: H
authors.lastname: Fujita
authors.forename: Shinichi
authors.initials: S
authors.lastname: Kinami
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Nakano
authors.forename: Takeo
authors.initials: T
authors.lastname: Kosaka
mesh_terms: D059248:Chemoradiotherapy; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary / Q000473:pathology / Q000628:therapy*; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000628:therapy*; D011379:Prognosis; D013274:Stomach Neoplasms / Q000473:pathology / Q000628:therapy*