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KMID : 0914820130130020126
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Journal of the Korean Gastric Cancer Association
2013 Volume.13 No. 2 p.126 ~ p.128
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A Case of Sudden Onset Septicemia in Recurred Gastric Cancer Following S1 Plus Docetaxel Treatment
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Ishigami Sumiya
Arigami Takaaki
Uenosono Yoshikazu
Uchikado Yasuto
Kita Yoshiaki
Sasaki Ken
Okumura Hiroshi
Kurahara Hiroshi
Kijima Yuko
Nakajo Akihiro
Maemura Kosei
Natsugoe Shoji
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Abstract
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Pyogenic liver abscess in patients with malignant disease is a fatal state and is easily diagnosed. We presented a rare case of sudden fatal septicemia following anticancer treatment for recurred gastric cancer due to multiple liver abscesses which could not be diagnosed. A 72-year-old male with recurred gastric cancer received anticancer agents. He had a history of distal gastrectomy with right hepatic lobectomy for hepatic metastasis. He received anticancer treatment in the outpatient’s service center periodically, and his performance status was preserved with nothing in particular. After administrating docetaxel, he suddenly developed septicemia and multiple organ failure and died 5 days after strong medical supports. Pathological autopsy revealed that multiple minute abscesses of the liver which could not be detected macroscopically were the causes of fatal septicemia. The etiology, therapies and prognosis of rare entity are being discussed.
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KEYWORD
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Liver abscess, pyogenic, Sepsis, Stomach neoplasms, Anticancer drug, Immunodeficiency, Hepatectomy
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