title: [A Case of Long-Term Survival after Pancreatoduodenectomy for Gastric Cancer with Pancreatic Invasion].
abstract: A 79-year-old woman with symptomatic pyloric stenosis was diagnosed with advanced gastric cancer. CT revealed that the tumor had invaded into the pancreatic head.Since no contraindications were found at laparotomy, we performed pancreatoduodenectomy. The histopathologic diagnosis was pT4b (panc), pN3a (11/35), P0, CY0, H0, M0, pStage ⅢC, R0. The patient received adjuvant chemotherapy with S-1 for 1 year. The patient has survived without recurrence for more than 2 years. The efficacy of pancreatoduodenectomy for advanced gastric cancer is still controversial. Pancreatoduodenetomy may be indicated for selected cases of advanced gastric cancer, if an R0 resection can be achieved.
authors.affiliation: Kenseikai Nara Coloproctology Center.
authors.forename: Tomoyo
authors.initials: T
authors.lastname: Yokotani
authors.forename: Naoki
authors.initials: N
authors.lastname: Inatsugi
authors.forename: Shusaku
authors.initials: S
authors.lastname: Yoshikawa
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Masuda
authors.forename: Hideki
authors.initials: H
authors.lastname: Uchida
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kuge
authors.forename: Kentaro
authors.initials: K
authors.lastname: Yamaoka
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Shimobayashi
authors.forename: Mizumi
authors.initials: M
authors.lastname: Inagaki
authors.forename: Takashi
authors.initials: T
authors.lastname: Yokoo
authors.forename: Motoi
authors.initials: M
authors.lastname: Kurisaki
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Miyazawa
authors.forename: Masayuki
authors.initials: M
authors.lastname: Sho
mesh_terms: D000368:Aged; D000964:Antimetabolites, Antineoplastic / Q000627:therapeutic use; D004338:Drug Combinations; D005260:Female; D005743:Gastrectomy; D006801:Humans; D009361:Neoplasm Invasiveness; D010094:Oxonic Acid / Q000627:therapeutic use; D010179:Pancreas / Q000473:pathology / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D013274:Stomach Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D005641:Tegafur / Q000627:therapeutic use; D013997:Time Factors
chemical_list: D000964:Antimetabolites, Antineoplastic; D004338:Drug Combinations; C079198:S 1 (combination); D005641:Tegafur; D010094:Oxonic Acid