The patient was a 71-year-old woman. In March of 2007, she experienced abdominal pain, and consulted a physician at our hospital. She was followed on a outpatient basis, but the symptom did not improve, so she consulted our division. As a result of examinations, pancreatic head tumor, multiple liver metastasis, and para-aortic lymph node swelling were detected. She was then admitted for chemotherapy in our hospital. She was treated with combined chemotherapy of S-1 and GEM. Tumor marker(CEA, CA19-9)decreased and the size of the pancreatic head tumor and liver metastasis decreased. No toxic events were observed due to this therapy. She was treated as an outpatient, and was considered to have good quality of life.

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