修改的Devine排除不可切除的胃癌:从缓和治疗到治愈治疗的桥梁
Joana Fontainhas1, António Gomes2, Vitor Nunes1
1Surgery, Hospital Professor Doutor Fernando Fonseca EPE, Amadora, Portugal.
BMJ case reports
|April 25, 2025
概括
系统疗法和息手术使局部晚期胃癌病例的治愈切除成为可能. 患者实现了长期无病生存,具有良好的生活质量.
科学领域:
- 在瘤学瘤学.
- 外科胃肠道外科手术
背景情况:
- 细胞毒性治疗的进步改善了胃癌的结果.
- 局部发达的,无法切除的胃癌会给治疗带来挑战.
研究的目的:
- 介绍一个成功治疗不可切割的胃癌的治疗意图的案例.
- 突出新辅助疗法和手术策略在改善患者治疗结果方面的作用.
主要方法:
- 息性部分胃分区胃口口术,随后进行EOX全身治疗.
- 治疗意图的亚总胃切除术与D2淋巴切除术后的反应评估.
主要成果:
- 12个月后持续的临床,生化和放射性反应.
- 取得了成功的R0切除.
- 没有疾病的生存期为5年,生活质量和营养状况良好.
结论:
- 结合息程序,全身疗法和延迟治愈手术的多学科方法可以有效地治疗不可切割的胃癌.
- 这种策略可以在选定的患者中导致长期生存和改善生活质量.
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