[A case report of bi-weekly docetaxel and S-1 combination chemotherapy for gastric cancer with multiple liver metastases and esophageal invasion].

Abstract

A 61-year-old man with the chief complaint of pressure with swallowing was referred to our hospital with type 3 cardiac gastric cancer. Gastrofiberscope showed type 3 cardiac cancer with esophageal invasion. On the abdominal computed tomography, there was evidence of lymph node swelling in the lesser curvature and multiple liver metastases. Blood tumor markers were elevated: CEA 200 ng/mL, CA19-9 2,490 U/mL. He was diagnosed as unresectable advanced gastric cancer UE-circ, type-3, c-T3N2H1P0M1, Stage IV. A biopsy revealed adenocarcinoma (tub2-por1). We started bi-weekly docetaxel and S-1 combination chemotherapy(DOC 40 mg/m2 day 1, 14, S-180 mg/m2 day 1-7, 14-21). After completion of the first course of this combination therapy, his feeling of pressure was relieved and CT showed reduction of multiple liver lesions and lymph node metastases, indicating partial response. No regrowth was seen for 7 courses of the therapy. Regarding toxicity, grade 2 nausea and grade 1 nail pain were observed. After 7 courses, because of serum CEA elevation, bi-weekly CPT-11/CDDP therapy (CPT-11 60 mg/m2, CDDP 30 mg/m2) was administered followed by weekly PTX therapy (65 mg/m2 day 1, 7, 14; total of 4 weeks). To date, 17 months after administration of chemotherapy, he has been treated on an outpatient basis. Biweekly DOC/S-1 therapy can be novel antitumor therapy which can be conducted safely in an outpatient setting for advanced gastric cancer.

• Authors: Satoru Matsuda, Masazumi Takahashi, Junn Watanabe, Taichi Yabuno, Yasuhisa Mochizuki, Fumihiko Kito, Chikara Kunisaki
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 37 Issue 7 Pg. 1353-6 (Jul 2010) ISSN: 0385-0684 [Print] Japan
• PMID: 20647726 (Publication Type: Case Reports, Journal Article)

Chemical References

• Drug Combinations
• Taxoids
• S 1 (combination)
• Tegafur
• Docetaxel
• Oxonic Acid

Topics

• Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
• Docetaxel
• Drug Combinations
• Esophageal Neoplasms (diagnostic imaging, drug therapy, pathology, secondary)
• Esophagoscopy
• Gastroscopy
• Humans
• Liver Neoplasms (diagnostic imaging, drug therapy, secondary)
• Male
• Middle Aged
• Neoplasm Invasiveness
• Oxonic Acid (administration & dosage, therapeutic use)
• Stomach Neoplasms (diagnostic imaging, drug therapy, pathology)
• Taxoids (administration & dosage, therapeutic use)
• Tegafur (administration & dosage, therapeutic use)
• Tomography, X-Ray Computed