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Histological Complete Response after Neoadjuvant XELOX in Advanced Gastric Carcinoma

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机构: [1]Hebei Med Univ, Hosp 4, Dept Surg, Shijiazhuang 050011, Peoples R China [2]Hebei Med Univ, Hosp 4, Dept Pathol, Shijiazhuang 050011, Peoples R China [3]Zhengding Peoples Hosp, Dept Surg, Shijiazhuang, Peoples R China
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关键词: Advanced gastric carcinoma Neoadjuvant chemotherapy Effect

摘要:
We report on a case of a 65-year-old Chinese male with locally advanced gastric adeno carcinoma achieving pathological complete response after neoadjuvant chemotherapy with capecitabine and oxaliplatin (XELOX) regimen. He underwent esophagogastroduodenoscopy, which revealed a 6cmx5cm gastric ulcer. Biopsy of gastric ulcer revealed adenocarcinoma. Further workups with abdominal enhancement computed tomography (CT) staged his cancer as T4N2M0. He received 2 cycles of neoadjuvant chemotherapy with XELOX without severe toxicity. Afterwards, he underwent curative surgery consisting of total gastrectomy with extended D2 lymph node dissections and a Roux-en-Y esophagojejunostomy. On microscopic examination, no tumor cells were detected in the ulcer scar of the resected stomach and in the regional lymph nodes. The benefit of XELOX regimen as neoadjuvant chemotherapy in gastric cancer is worth further investigation.

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出版当年[2013]版:
大类 | 4 区 医学
小类 | 4 区 胃肠肝病学 4 区 外科
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出版当年[2013]版:
Q3 SURGERY Q4 GASTROENTEROLOGY & HEPATOLOGY
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第一作者机构: [1]Hebei Med Univ, Hosp 4, Dept Surg, Shijiazhuang 050011, Peoples R China
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