Abstract | BACKGROUND: CASE SUMMARY: A 60-year-old man was diagnosed with advanced distal gastric cancer, cT4aN1M0 stage III. The neoadjuvant chemoradiotherapy was performed based on the regimen of gross tumor volume 50G y/25 f and clinical target volume 45 Gy/25 f, as well as concurrent S-1 60 mg Bid. Then laparoscopic distal gastrectomy with D2 lymph node dissection was undertaken successfully for him after achieving partial response evaluated by radiological examination. The patient recovered smoothly without moderate or severe postoperative complications. The postoperative pathological stage was ypT3N0M0 with American Joint Committee on Cancer tumor regression grade 1. He was still in good condition after 5 years of follow-up. CONCLUSION:
Neoadjuvant chemoradiotherapy followed by laparoscopic technique could be applicable and may achieve satisfactory oncological outcomes. Our finding requires further validation by cohort studies.
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Authors | Zi-Ning Liu, Yin-Kui Wang, Zi-Yu Li |
Journal | World journal of clinical cases
(World J Clin Cases)
Vol. 9
Issue 11
Pg. 2542-2554
(Apr 16 2021)
ISSN: 2307-8960 [Print] United States |
PMID | 33889619
(Publication Type: Case Reports)
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Copyright | ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. |