RESUMEN
A 54-year-old man underwent distal gastrectomy for early gastric cancer in September 2002. CT performed 6 months after the operation revealed liver metastases, and they were resected. Hepatic arterial infusion therapy of 5-FU was performed; however, multiple liver metastases appeared in October 2003. We added arterial infusion of CDDP to 5-FU, but liver metastases increased. We then applied a combination chemotherapy of S-1 and paclitaxel from February 2004. Subsequently, stable disease continued, and after 67 courses of S-1 plus paclitaxel, we changed the administration to S-1 alone from August 2009. After that, liver metastases did not increase, so we discontinued chemotherapy on August 2010, followed by observation. Progression of liver metastases has not been to date.
Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias Hepáticas/tratamiento farmacológico , Neoplasias Gástricas/tratamiento farmacológico , Terapia Combinada , Combinación de Medicamentos , Humanos , Neoplasias Hepáticas/secundario , Neoplasias Hepáticas/cirugía , Masculino , Persona de Mediana Edad , Ácido Oxónico/administración & dosificación , Paclitaxel/administración & dosificación , Neoplasias Gástricas/patología , Neoplasias Gástricas/cirugía , Tegafur/administración & dosificación , Tomografía Computarizada por Rayos XRESUMEN
A uniformly imploded deuterated polystyrene (CD) shell target is fast-heated by a Petawatt (PW) laser without cone guide. The best illumination timing is found to be in a narrow region around 80+/-20 picoseconds from the onset of the stagnation phase, where thermal neutrons are enhanced four to five times by the PW laser of energy less than 10% of the implosion laser. The timing agrees with the timings of enhancement of the x-ray emission from the core and reduction of the bremsstrahlung radiation from scattered hot electrons. The PW laser, focused to the critical density point, generates the energetic electrons within as narrow an angle as 30 degrees , which then heats the imploded CD shell to enhance thermal neutrons. These results first demonstrate that the PW laser directly heats the imploded core without any conelike laser guide.
RESUMEN
An ultraintense laser injected a 10 J of power at 1.053 microm in 0.5 ps into a glass capillary of 1 cm long and 60 microm in diameter and accelerated plasma electrons to 100 MeV. One- and two-dimensional particle codes describe wakefields with 10 GV/m gradient excited behind the laser pulse, which are guided by a plasma density channel far beyond the Rayleigh range. The blueshift of the laser spectrum supports that a plasma of 10(16) cm(-3) is inside the capillary. A bump at the high energy tail suggests the electron trapping in the wakefield.
