A Case of Advanced Gastric Cancer with Abdominal Paraaortic and Virchow's Lymph Node Metastasis Responding to Pathological CR After Preoperative Combined Docetaxel, Cisplatin, and S–1 Chemotherapy

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  • 分割DCS療法にてpCRが得られた，腹部大動脈周囲リンパ節およびVirchowリンパ節転移を伴う進行胃癌の１例
  • A Case of Advanced Gastric Cancer with Abdominal Paraaortic and Virchow's Lymph Node Metastasis Responding to Pathological CR After Preoperative Combined Docetaxel, Cisplatin, and S^|^ndash;1 Chemotherapy

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A 60–year–old man diagnosed with advanced gastric cancer type 1 and numerous lymph node metastases such as regional, abdominal paraaortic, and Virchow's lymph nodes underwent preoperative chemotherapy with docetaxel, cisplatin, and S–1 (DCS therapy). Distal gastrectomy with D2+ lymphadenectomy was then done after two DCS courses. Pathologically, no viable cancer cells remained in the primary lesion or dissected lymph nodes. The pathological response of preoperative DCS therapy was judged to be grade 3. The postoperative course was uneventful, and the man is now healthy and being seen as an outpatient treated with S–1 for postoperative adjuvant chemotherapy.

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