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KMID : 0363320200410050911
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Journal of Korean Oriental Internal Medicine
2020 Volume.41 No. 5 p.911 ~ p.925
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A Case Report of an Advanced Gastric Cancer Patient Who Was Able to Undergo Conversion Surgery Treated with Chemotherapy and Korean Medicine
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Jang Kwon-Jun
Ko Eun-Bi
Hwang Woo-Seok
Kim Kwan-Il
Lee Beom-Joon
Jung Hee-Jae
Shin Kwang-Soon
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Abstract
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Objectives: The purpose of this study was to report a case of a patient with advanced gastric cancer with peritoneal metastasis treated with chemotherapy and Korean medicine
Methods: A patient with advanced gastric cancer with peritoneal metastasis was treated with Xeloda/cisplatin since April 2019. The cycle was repeated every three weeks for a total of 11 times. At the same time, the patient was treated with Korean medicine. The tumor size was measured by computed tomography (CT) and esophagogastroduodenoscopy (EGD). Adverse events were evaluated by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0.
Results: After treatment with Xeloda/cisplatin and Korean medicine for nine months, the extent of the proximal portion of the primary tumor and the size and number of multiple nodules around the stomach decreased and the cancer cells with peritoneal metastasis disappeared. The symptoms of discomfort and physical activity were gradually improved. As a result, the patient underwent conversion surgery.
Conclusions: This case study suggests that the combination of chemotherapy and Korean medicine may contribute to the reduction in tumor size as well as the improvement in the quality of life.
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KEYWORD
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advanced gastric cancer, peritoneal metastasis, Xeloda/Cisplatin, conversion surgery, Korean medicine
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