Abstract |
A 63-year old man was referred to our hospital because of fever, appetite loss, and increased biliary enzyme levels. Upper gastrointestinal endoscopy revealed a tumor in the duodenal papilla, diagnosed as an adenocarcinoma via biopsy, and computed tomography (CT) revealed multiple tumors in the liver. Chemotherapy with TS-1 was initiated based on a diagnosis of ampullary cancer with multiple liver metastases. After TS-1 treatment, the multiple tumors were no longer detectable, and the primary tumor did not increase in size for 4 years. At this time, however, the patient experienced fever, jaundice, and appetite loss. The hepatic mass was not detected via CT or MRI. The primary tumor was determined to be resectable; therefore, we performed subtotal stomach preserving pancreatoduodenectomy. The patient was discharged 55 days after surgery and is alive without recurrence 2 years after surgery.
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Authors | Naoki Mori, Naoki Sakurai, Hajime Iizawa |
Journal | Gan to kagaku ryoho. Cancer & chemotherapy
(Gan To Kagaku Ryoho)
Vol. 42
Issue 3
Pg. 367-70
(Mar 2015)
ISSN: 0385-0684 [Print] Japan |
PMID | 25812510
(Publication Type: Case Reports, English Abstract, Journal Article, Review)
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Chemical References |
- Silicates
- titanium silicide
- Titanium
|
Topics |
- Ampulla of Vater
(pathology)
- Disease Progression
- Duodenal Neoplasms
(drug therapy, pathology, surgery)
- Humans
- Liver Neoplasms
(drug therapy, secondary)
- Male
- Middle Aged
- Pancreaticoduodenectomy
- Silicates
(therapeutic use)
- Titanium
(therapeutic use)
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