Preoperative Intraarterial Infusion Chemotherapy for Advanced Gastric Cancer - A Retrospective Review of Four Cases

Takashi Iida, Nobuaki Hirata, Masakazu Hirakawa, Tomoyuki Noguchi

研究成果: Contribution to journalReview article

8 引用 (Scopus)

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For the purpose of improving operability and curability, we performed intraarterial infusion chemotherapy on four patients with advanced gastric cancer diagnosed pathologically as papillary adenocarcinoma or poorly differentiated adenocarcinoma. Anti-cancer drugs including cis-diamminedichloroplatinum (II), epirubicin, and mitomycin C were administered through catheters whose tips were placed at various sites, as follows: celiac artery, common hepatic artery, right and left gastric artery, accessory left gastric artery, gastroduodenal artery, and right gastroepiploic artery. The therapeutic effect was evaluated by computed tomography (CT) and double contrast X-ray examination of the stomach. A partial response was obtained in one patient, there was no change in two patients, and the fourth patient showed no change and died eight months later. One patient had no recurrence, and recurrence was found in two. The major toxicity was bone marrow suppression, and other side effects such as appetite loss, nausea, and vomiting were all transient. A deep gastric ulcer was found in one patient, but it was cured by intravenous administration of H2 blocker. Although the four patients showed varying responses, intraarterial chemotherapy may prove to be an assistant therapy that enhances the therapeutic effect.

元の言語英語
ページ(範囲)172-177
ページ数6
ジャーナルRadiation Medicine - Medical Imaging and Radiation Oncology
21
発行部数4
出版物ステータス出版済み - 7 2003
外部発表Yes

All Science Journal Classification (ASJC) codes

  • Radiation
  • Radiology Nuclear Medicine and imaging
  • Oncology

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