Assuntos
Refluxo Biliar/diagnóstico , Neoplasias da Vesícula Biliar/diagnóstico , Amilases/análise , Bile/enzimologia , Ductos Biliares/anormalidades , Refluxo Biliar/complicações , Biomarcadores Tumorais/análise , Colangiopancreatografia Retrógrada Endoscópica , Colangiopancreatografia por Ressonância Magnética , Neoplasias da Vesícula Biliar/etiologia , Humanos , Ductos Pancreáticos/anormalidades , Secretina , Tomografia Computadorizada por Raios XRESUMO
The patient was a 68-year-old woman. She was referred to our hospital because of advanced gastric cancer. Endoscopic examination showed that the tumor was located in the Subcardia, with its oral margin invading the esophagus. Histologic examination of biopsy specimen led to a diagnosis of moderately to poorly differentiated adenocarcinoma. Apparent lymph node swellings (No. 7, No. 11) on enhanced CT examination indicated the metastasis of the gastric cancer. Consulting with her family, we decided to treat the cancer with chemotherapy using the peroral carcinostatic "UFT", and started it on November 18, 1997. Follow-up endoscopic examination confirmed that the tumor was reduced in size immediately after starting chemotherapy, and then finally disappeared on December 10, 1999. Since then, there has been no recurrence of the tumor. This is a rare case of gastric cancer showing complete response to chemotherapy using a peroral carcinosatatic alone.