[A Case of Gastric Cancer with Necrotic Lymph Node Perforation in the Stomach during Chemotherapy]

Gan To Kagaku Ryoho. 2019 Sep;46(9):1437-1439.
[Article in Japanese]

Abstract

A 63-year-old man was diagnosed with gastric cancer. Distal gastrectomywas performed in November 2011. The pathologic finding was pT3N2M0, Stage ⅢA. S-1 was administered as adjuvant chemotherapy. However, in August 2012, computed tomographyrevealed a tumor measuring 3 cm in size in the dorsal pancreas. Based on endoscopic ultrasound-guided fine- needle aspiration, he was diagnosed with lymph node recurrence of gastric cancer. Injection chemotherapy of CDDP/CPT-11 was initiated in November 2012. In January 2013, the patient developed fever owing to a ruptured abscess from the posterior wall in the stomach. In the 6 years since, although the patient has not undergone chemotherapy, recurrence has not been observed.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / adverse effects*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Cisplatin
  • Humans
  • Irinotecan
  • Lymph Nodes
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Stomach Neoplasms*

Substances

  • Irinotecan
  • Cisplatin