AI Article Synopsis
- - An 81-year-old woman was diagnosed with advanced gastric cancer, solitary liver metastasis, and suspected lung cancer during a health check and was transferred to the hospital.
- - She initially received chemotherapy with oxaliplatin and S-1, but after tumor enlargement, she switched to a second-line treatment involving paclitaxel and ramucirumab, which successfully reduced the tumor size.
- - After undergoing surgeries including gastrectomy and partial hepatectomy, she survived for over 5 years without further chemotherapy, demonstrating that treatment options can be effective for older patients with good overall health.
Article Abstract
Eighty-one year-old woman was pointed out pulmonary tumor by health check and transferred to our hospital. Her performance status was fine. In imaging study, she had advanced gastric cancer with a solitary liver metastasis and highly suspected left lung cancer. She received chemotherapy combined with oxaliplatin and S-1 as first-line. However, the tumor enlarged and then received second-line chemotherapy combined with paclitaxel and ramucirumab. The tumor shrank and a solitary liver metastasis remained. She underwent gastrectomy and partial hepatectomy. After conversion surgery, she had no chemotherapy and had survived over 5 years. Even in old person over 80 years old, chemotherapy and surgery are considerable in patients with well performance status.
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