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04 June 2007

Multidisciplinary treatment was effective for recurrent carcinoma of the small intestine

Takahisa Hirokawa, Yoshimi Akamo, Takehiro Wakasugi, Yoichi Matsuo, Hirozumi Sawai, Yuji Okada, Hiromitsu Takeyama, Tadao Manabe

Case Rep Clin Pract Rev 2007; 8:150-155 :: ID: 485021

Abstract

Background: Carcinomas of the small intestine are relatively rare and have a poor prognosis. Here, we report a case with a good prognosis.
Case Report: An 83-year-old man whose stool examination was positive for occult blood visited our hospital. Since exam results suggested a malignant small intestinal tumor, a partial resection of the small intestine with a lymphadenectomy was performed. The tumor was diagnosed as a
carcinoma of the small intestine. After two months, we found multiple liver metastases, and the patient received combination hepatic arterial infusion therapy with cisplatin (CDDP) and 5-fluorouracil (5-FU). After treatment, the metastases disappeared. A computed tomography (CT) scan at 9 months revealed a tumor in the abdominal cavity. It was resected and diagnosed as a recurrence of the small intestinal carcinoma. Subsequently, the patient
received chemotherapy with tegafur gimeracil oteraoil potassium (TS-1) 120 mg. Two years and five months after the primary operation, he is doing well and there are no evidence of recurrences and metastasis.
Conclusions: We think that it is important that active therapy be planned for cases of carcinoma of the small intestine.

Keywords: carcinoma of the small intestine, multidisciplinary treatment, liver metastasis

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923