| Literature DB >> 26181073 |
Hirofumi Toi1, Yosuke Miura2, Susumu Shibasaki3, Kenji Chisaka2, Manabu Goto2, Ichiro Tsuda3, Takahisa Nakamura3, Taiji Hase3.
Abstract
A 56-year-old man who was diagnosed with gastric cancer with multiple paraaortic lymph node metastases was treated with S-1 plus cisplatin. The spleen gradually enlarged during the therapeutic courses. After the 6th course of therapy, the primary gastric lesion and paraaortic lymphadenopathies disappeared. He underwent a curative resection, including a distal gastrectomy with regional and paraaortic lymph node dissections. Irregularly distributed congestion of the liver was noted during the surgery. Histological examinations revealed residual cancer cells in 3 regional lymph nodes and no cancer cells in the primary site and paraaortic lymph nodes. Hepatic sinusoidal obstruction syndrome (SOS) was also confirmed histologically. This is the first report of a case with SOS after S-1 plus cisplatin therapy. S-1 plus cisplatin therapy can cause SOS, although it is a promising preoperative chemotherapy for highly advanced gastric cancer.Entities:
Keywords: Drug liver injury; Neoadjuvant chemotherapy; Oral fluoropyrimidines; Splenomegaly; Veno-occlusive disease
Year: 2012 PMID: 26181073 DOI: 10.1007/s12328-012-0333-2
Source DB: PubMed Journal: Clin J Gastroenterol ISSN: 1865-7265