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[Radical Thoracoscopic Esophagectomy for Elderly Patients with Advanced Esophageal Cancer].
- Source :
-
Gan to kagaku ryoho. Cancer & chemotherapy [Gan To Kagaku Ryoho] 2017 Nov; Vol. 44 (12), pp. 1784-1786. - Publication Year :
- 2017
-
Abstract
- We report a case of an elderly patient with advanced esophageal cancer who underwent multidisciplinary treatment. An 86-year-old male consulted our hospital with complaints of pharynx discomfort and difficulty in swallowing. He was preoperatively diagnosed with esophageal cancer, T3N2M0, Stage III . We performed 2 courses of cisplatin plus 5-FU therapy as neoadjuvant chemotherapy. The primary tumor and metastatic lymph nodes reduced in size, and thoracoscopic esophagectomy in the prone position was performed. Pathological findings were esophageal cancer, pT3-Ad, INF b, ly2, v1, IM0, pPM0, pDM0, pRM1, pN3, pStage III . As the radical margin was positive, chemoradiotherapy was performed. We continued postoperative chemotherapy for approximately 1 year, and the patient has survived without relapse for 4 years from esophagectomy. Even in patients over 80 years old, long-term prognosis can be expected by performing radical surgery and chemoradiotherapy.
- Subjects :
- Aged, 80 and over
Antineoplastic Combined Chemotherapy Protocols therapeutic use
Cisplatin administration & dosage
Combined Modality Therapy
Drug Combinations
Esophageal Neoplasms pathology
Humans
Male
Oxonic Acid administration & dosage
Silicates therapeutic use
Tegafur administration & dosage
Titanium therapeutic use
Esophageal Neoplasms therapy
Esophagectomy
Thoracoscopy
Subjects
Details
- Language :
- Japanese
- ISSN :
- 0385-0684
- Volume :
- 44
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Gan to kagaku ryoho. Cancer & chemotherapy
- Publication Type :
- Academic Journal
- Accession number :
- 29394775