A case of type 4 advanced gastric cancer treated by S-1 simple suspension method with CDDP
Ito, K.; Ogata, T.; Katayanagi, S.; Nomura, T.; Ishizaki, T.; Yasuda, Y.; Sonoda, I.; Suzuki, Y.; Sumi, T.; Tsuchida, A.; Aoki, T.; Shimazu, M.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 37(1): 135-138
2010
ISSN/ISBN: 0385-0684 PMID: 20087048 Document Number: 639402
S-1 is a key drug for advanced, recurrent gastric cancer. It is difficult to administer S-1 for inoperable gastric cancer with stenosis. We report that a simple suspension method allows administration of S-1 for improved quality of life. The patient was a 65-year-old woman. She consulted a doctor regarding her poor food intake, and had a medical examination with chest-abdominal CT and gastrofiberscopy. She was diagnosed as type 4 gastric cancer with esophageal invasion. It was difficult for her to drink a cup of water due to the stenosis, but we could insert a 6 Fr-Elemental Diet (ED) tube into her stomach. S-1 was dissolved by the simple suspension method. She received combination chemotherapy of S-1 100mg/body (day 1-21) and CDDP 80 mg/body (day 8). After two courses, her intake was much improved; she was able to eat rice porridge and was discharged with improved quality of life. S-1 suspension with ED tube was effective for advanced gastric cancer with stenosis.