Abstract
症例は68歳の男性で，腹部大動脈周囲リンパ節に高度の転移を認める3型低分化腺癌に対して術前化学療法を施行した．内容はPaclitaxel 60mg/body，Cisplatin 25mg/bodyをday1，day8，day15に投与しday22は休薬，同時にS-1 100mg/bodyをday1より3週投与し，1週休薬とした．以上を1コースとして計4コースを施行した．術前化学療法終了1カ月後に幽門側胃切除（D2+No.16b1リンパ節，No.16a2リンパ節郭清），左副腎合併切除を施行した．病理組織学的検索では，主病巣，リンパ節ともに癌細胞を認めずComplete Response Grade3と判定した．その後S-1 80mgを2年間投与し，術後5年間再発を認めていない．
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