Skip to main content
Top
Published in: World Journal of Surgical Oncology 1/2014

Open Access 01-12-2014 | Case report

Histological complete response to a combined docetaxel/cisplatin/fluorouracil neoadjuvant chemotherapy for T4 stage gastric adenocarcinoma

Authors: Ming gao Guo, Qi Zheng, Jian zhong Di, Zhe Yang

Published in: World Journal of Surgical Oncology | Issue 1/2014

Login to get access

Abstract

Local advanced gastric carcinoma has a very poor prognosis. When a T4 gastric carcinoma has invaded the surrounding tissues and organs, curative resection is unlikely. We present here a case of a 63-year-old woman with a T4 unresectable gastric adenocarcinoma. She underwent two 3-week cycles of docetaxel/cisplatin/fluorouracil chemotherapy, followed by radical gastric resection. Each cycle consisted of 75 mg/m2 docetaxel and 75 mg/m2 cisplatin on day 1, and 200 mg/m2 leucovorin and 500 mg/m2 fluorouracil on days 1 through 5. The patient exhibited a complete histologic response. Our results indicate that docetaxel/cisplatin/fluorouracil neoadjuvant chemotherapy is a promising method of treatment for advanced gastric cancer.
Appendix
Available only for authorised users
Literature
1.
go back to reference Blanke CD, Corless CL, Schwarz RE, Bonin SR: Gastric Cancer. 2005, Lawrence, KS: CMP Healthcare Media, 9 Blanke CD, Corless CL, Schwarz RE, Bonin SR: Gastric Cancer. 2005, Lawrence, KS: CMP Healthcare Media, 9
2.
go back to reference Hazard L, O’Connor J, Scaife C: Role of radiation therapy in gastric adenocarcinoma. World J Gastroenterol. 2006, 12: 1511-1520.PubMedCentralPubMed Hazard L, O’Connor J, Scaife C: Role of radiation therapy in gastric adenocarcinoma. World J Gastroenterol. 2006, 12: 1511-1520.PubMedCentralPubMed
3.
go back to reference Meyerhardt JA, Fuchs CS: Adjuvant therapy in gastric cancer: can we prevent recurrences?. Oncology. 2003, 17: 714-722.PubMed Meyerhardt JA, Fuchs CS: Adjuvant therapy in gastric cancer: can we prevent recurrences?. Oncology. 2003, 17: 714-722.PubMed
4.
go back to reference Rossi M, Broglia L, Graniano P, Maccioni F, Bezzi M, Masciangleo R, Rossi P: Local invasion of gastric cancer: CT findings and pathologic correlation using 5 mm incremental scanning, hypotonia, and water-filling. AJR. 1999, 172: 383-388. 10.2214/ajr.172.2.9930788.CrossRefPubMed Rossi M, Broglia L, Graniano P, Maccioni F, Bezzi M, Masciangleo R, Rossi P: Local invasion of gastric cancer: CT findings and pathologic correlation using 5 mm incremental scanning, hypotonia, and water-filling. AJR. 1999, 172: 383-388. 10.2214/ajr.172.2.9930788.CrossRefPubMed
5.
go back to reference Lee DH, Ko YT, Park SJ, Lim JW: Comparison of hydro-US and spiral CT in the staging of gastric cancer. Clin Imaging. 2001, 25: 181-186. 10.1016/S0899-7071(01)00280-7.CrossRefPubMed Lee DH, Ko YT, Park SJ, Lim JW: Comparison of hydro-US and spiral CT in the staging of gastric cancer. Clin Imaging. 2001, 25: 181-186. 10.1016/S0899-7071(01)00280-7.CrossRefPubMed
6.
go back to reference Japanese Research Society for Gastric Cancer: The general rules for gastric cancer study in surgery and pathology: part I. Jpn J Surg. 1981, 11: 127-139.CrossRef Japanese Research Society for Gastric Cancer: The general rules for gastric cancer study in surgery and pathology: part I. Jpn J Surg. 1981, 11: 127-139.CrossRef
7.
go back to reference Neugut AI, Hayek M, Howe G: Epidemiology of gastric cancer. Semin Oncol. 1996, 23: 281-291.PubMed Neugut AI, Hayek M, Howe G: Epidemiology of gastric cancer. Semin Oncol. 1996, 23: 281-291.PubMed
8.
go back to reference Kim DY, Joo JK, Seo K, Yeung W, Park ES, Young K, Yu R: T4 gastric carcinoma: the benefit of non-curative resection. WANZ J Surg. 2006, 76: 453-457. Kim DY, Joo JK, Seo K, Yeung W, Park ES, Young K, Yu R: T4 gastric carcinoma: the benefit of non-curative resection. WANZ J Surg. 2006, 76: 453-457.
9.
go back to reference Lowy AM, Mansfield PF, Leach SD, Pazdur R, Dumas P, Ajani JA: Response to neoadjuvant chemotherapy best predicts survival after curative resection of gastric cancer. Ann Surg. 1999, 229: 303-308. 10.1097/00000658-199903000-00001.PubMedCentralCrossRefPubMed Lowy AM, Mansfield PF, Leach SD, Pazdur R, Dumas P, Ajani JA: Response to neoadjuvant chemotherapy best predicts survival after curative resection of gastric cancer. Ann Surg. 1999, 229: 303-308. 10.1097/00000658-199903000-00001.PubMedCentralCrossRefPubMed
10.
go back to reference Schuhmacher CP, Fink U, Becker K, Busch R, Dittler HJ, Mueller J, Siewert JR: Neoadjuvant therapy for patients with locally advanced gastric carcinoma with etoposide, doxorubicin, and cisplatinum. Closing results after 5 years of follow-up. Cancer. 2001, 91: 918-927. 10.1002/1097-0142(20010301)91:5<918::AID-CNCR1081>3.0.CO;2-W.CrossRefPubMed Schuhmacher CP, Fink U, Becker K, Busch R, Dittler HJ, Mueller J, Siewert JR: Neoadjuvant therapy for patients with locally advanced gastric carcinoma with etoposide, doxorubicin, and cisplatinum. Closing results after 5 years of follow-up. Cancer. 2001, 91: 918-927. 10.1002/1097-0142(20010301)91:5<918::AID-CNCR1081>3.0.CO;2-W.CrossRefPubMed
11.
go back to reference D’Ugo D, Persiani R, Rausei S, Biondi A, Vigorita V, Boccia S, Ricci R: Response to neoadjuvant chemotherapy and effects of tumor regression in gastric cancer. Eur J Surg Oncol. 2006, 32: 1105-1109. 10.1016/j.ejso.2006.07.009.CrossRefPubMed D’Ugo D, Persiani R, Rausei S, Biondi A, Vigorita V, Boccia S, Ricci R: Response to neoadjuvant chemotherapy and effects of tumor regression in gastric cancer. Eur J Surg Oncol. 2006, 32: 1105-1109. 10.1016/j.ejso.2006.07.009.CrossRefPubMed
12.
go back to reference Webb A, Cunningham D, Scarffe JH, Harper P, Norman A, Joffe JK, Hughes M, Mansi J, Findlay M, Hill A, Oates J, Nicolson M, Hickish T, O'Brien M, Iveson T, Watson M, Underhill C, Wardley A, Meehan M: Randomized trial comparing epirubicin, cisplatin, and fluorouracil versus fluorouracil, doxorubicin, and methotrexate in advanced esophagogastric cancer. J Clin Oncol. 1997, 15: 261-267.CrossRefPubMed Webb A, Cunningham D, Scarffe JH, Harper P, Norman A, Joffe JK, Hughes M, Mansi J, Findlay M, Hill A, Oates J, Nicolson M, Hickish T, O'Brien M, Iveson T, Watson M, Underhill C, Wardley A, Meehan M: Randomized trial comparing epirubicin, cisplatin, and fluorouracil versus fluorouracil, doxorubicin, and methotrexate in advanced esophagogastric cancer. J Clin Oncol. 1997, 15: 261-267.CrossRefPubMed
13.
go back to reference Waters JS, Norman A, Cunningham D, Scarffe JH, Webb A, Harper P, Joffe JK, Mackean M, Mansi J, Leahy M, Hill A, Oates J, Rao S, Nicolson M, Hickish T: Long-term survival after epirubicin, cisplatin and fluorouracil for gastric cancer: results of a randomized trial. Br J Cancer. 1999, 80: 269-272. 10.1038/sj.bjc.6690350.PubMedCentralCrossRefPubMed Waters JS, Norman A, Cunningham D, Scarffe JH, Webb A, Harper P, Joffe JK, Mackean M, Mansi J, Leahy M, Hill A, Oates J, Rao S, Nicolson M, Hickish T: Long-term survival after epirubicin, cisplatin and fluorouracil for gastric cancer: results of a randomized trial. Br J Cancer. 1999, 80: 269-272. 10.1038/sj.bjc.6690350.PubMedCentralCrossRefPubMed
14.
go back to reference Ajani JA, Fairweather J, Dumas P, Patt YZ, Pazdur R, Mans Weld PF: Phase II study of taxol in patients with advanced gastric carcinoma. Cancer J Sci Am. 1998, 4: 269-274.PubMed Ajani JA, Fairweather J, Dumas P, Patt YZ, Pazdur R, Mans Weld PF: Phase II study of taxol in patients with advanced gastric carcinoma. Cancer J Sci Am. 1998, 4: 269-274.PubMed
15.
go back to reference Cascinu S, Graziano F, Cardarelli N, Marcellini M, Giordani P, Menichetti ET, Catalano G: Phase II study of paclitaxel in pretreated advanced gastric cancer. Anticancer Drugs. 1998, 9: 307-310. 10.1097/00001813-199804000-00003.CrossRefPubMed Cascinu S, Graziano F, Cardarelli N, Marcellini M, Giordani P, Menichetti ET, Catalano G: Phase II study of paclitaxel in pretreated advanced gastric cancer. Anticancer Drugs. 1998, 9: 307-310. 10.1097/00001813-199804000-00003.CrossRefPubMed
16.
go back to reference Yamaguchi K, Tada M, Horikoshi N, Otani T, Takiuchi H, Saitoh S, Kanamaru R, Kasai Y, Koizumi W, Sakata Y, Taguchi T, Paclitaxel Gastric Cancer Study Group in Japan: Paclitaxel gastric cancer study group in Japan phase II study of paclitaxel with 3-h infusion in patients with advanced gastric cancer. Gastric Cancer. 2002, 5: 90-95. 10.1007/s101200200015.CrossRefPubMed Yamaguchi K, Tada M, Horikoshi N, Otani T, Takiuchi H, Saitoh S, Kanamaru R, Kasai Y, Koizumi W, Sakata Y, Taguchi T, Paclitaxel Gastric Cancer Study Group in Japan: Paclitaxel gastric cancer study group in Japan phase II study of paclitaxel with 3-h infusion in patients with advanced gastric cancer. Gastric Cancer. 2002, 5: 90-95. 10.1007/s101200200015.CrossRefPubMed
17.
go back to reference Cascinu S, Ficarelli R, Safi MA, Graziano F, Catalano G, Cellerino R: A phase I study of paclitaxel and 5-fuorouracil in advanced gastric cancer. Eur J Cancer. 1997, 33: 1699-1702. 10.1016/S0959-8049(97)00134-2.CrossRefPubMed Cascinu S, Ficarelli R, Safi MA, Graziano F, Catalano G, Cellerino R: A phase I study of paclitaxel and 5-fuorouracil in advanced gastric cancer. Eur J Cancer. 1997, 33: 1699-1702. 10.1016/S0959-8049(97)00134-2.CrossRefPubMed
18.
19.
go back to reference Honecker F, Kollmannsberger C, Quietzsch D, Haag C, Schroeder M, Spott C, Hartmann JT, Baronius W, Hempel V, Kanz L, Bokemeyer C: Phase II study of weekly paclitaxel plus 24-h continuous infusion 5-Xuorouracil, folinic acid and 3-weekly cisplatin for the treatment of patients with advanced gastric cancer. Anticancer Drugs. 2002, 13: 497-503. 10.1097/00001813-200206000-00008.CrossRefPubMed Honecker F, Kollmannsberger C, Quietzsch D, Haag C, Schroeder M, Spott C, Hartmann JT, Baronius W, Hempel V, Kanz L, Bokemeyer C: Phase II study of weekly paclitaxel plus 24-h continuous infusion 5-Xuorouracil, folinic acid and 3-weekly cisplatin for the treatment of patients with advanced gastric cancer. Anticancer Drugs. 2002, 13: 497-503. 10.1097/00001813-200206000-00008.CrossRefPubMed
20.
go back to reference Kim YH, Shin SW, Kim BS, Kim JH, Kim JG, Mok YJ, Kim CS, Rhyu HS, Hyun JH, Kim JS: Paclitaxel, 5-Xuorouracil, and cisplatin combination chemotherapy for the treatment of advanced gastric carcinoma. Cancer. 1999, 85: 295-301. 10.1002/(SICI)1097-0142(19990115)85:2<295::AID-CNCR5>3.0.CO;2-H.CrossRefPubMed Kim YH, Shin SW, Kim BS, Kim JH, Kim JG, Mok YJ, Kim CS, Rhyu HS, Hyun JH, Kim JS: Paclitaxel, 5-Xuorouracil, and cisplatin combination chemotherapy for the treatment of advanced gastric carcinoma. Cancer. 1999, 85: 295-301. 10.1002/(SICI)1097-0142(19990115)85:2<295::AID-CNCR5>3.0.CO;2-H.CrossRefPubMed
21.
go back to reference Kollmannsberger C, Quietzsch D, Haag C, Lingenfelser T, Schroeder M, Hartmann JT, Baronius W, Hempel V, Clemens M, Kanz L, Bokemeyer C: A phase II study of paclitaxel, weekly, 24-h continuous infusion 5-Xuorouracil, folinic acid and cisplatin in patients with advanced gastric cancer. Br J Cancer. 2000, 83: 458-462. 10.1054/bjoc.2000.1295.PubMedCentralCrossRefPubMed Kollmannsberger C, Quietzsch D, Haag C, Lingenfelser T, Schroeder M, Hartmann JT, Baronius W, Hempel V, Clemens M, Kanz L, Bokemeyer C: A phase II study of paclitaxel, weekly, 24-h continuous infusion 5-Xuorouracil, folinic acid and cisplatin in patients with advanced gastric cancer. Br J Cancer. 2000, 83: 458-462. 10.1054/bjoc.2000.1295.PubMedCentralCrossRefPubMed
22.
go back to reference Van Cutsem E, Moiseyenko VM, Tjulandin S, Majlis A, Constenla M, Boni C, Rodrigues A, Fodor M, Chao Y, Voznyi E, Risse ML, Ajani JA, V325 Study Group: Phase III study of docetaxel and cisplatin plus fluorouracil compared with cisplatin and fluorouracil as first-line therapy for advanced gastric cancer: a report of the V325 study group. J Clin Oncol. 2006, 24: 4991-4997. 10.1200/JCO.2006.06.8429.CrossRefPubMed Van Cutsem E, Moiseyenko VM, Tjulandin S, Majlis A, Constenla M, Boni C, Rodrigues A, Fodor M, Chao Y, Voznyi E, Risse ML, Ajani JA, V325 Study Group: Phase III study of docetaxel and cisplatin plus fluorouracil compared with cisplatin and fluorouracil as first-line therapy for advanced gastric cancer: a report of the V325 study group. J Clin Oncol. 2006, 24: 4991-4997. 10.1200/JCO.2006.06.8429.CrossRefPubMed
23.
go back to reference Roth AD, Fazio N, Stupp R, Falk S, Bernhard J, Saletti P, Köberle D, Borner MM, Rufibach K, Maibach R, Wernli M, Leslie M, Glynne-Jones R, Widmer L, Seymour M, de Braud F, Swiss Group for Clinical Cancer Research: Docetaxel, cisplatin, and fluorouracil; docetaxel and cisplatin; and epirubicin, cisplatin, and fluorouracil as systemic treatment for advanced gastric carcinoma: a randomized phase II trial of the swiss group for clinical cancer research. J Clin Oncol. 2007, 25: 3217-3223. 10.1200/JCO.2006.08.0135.CrossRefPubMed Roth AD, Fazio N, Stupp R, Falk S, Bernhard J, Saletti P, Köberle D, Borner MM, Rufibach K, Maibach R, Wernli M, Leslie M, Glynne-Jones R, Widmer L, Seymour M, de Braud F, Swiss Group for Clinical Cancer Research: Docetaxel, cisplatin, and fluorouracil; docetaxel and cisplatin; and epirubicin, cisplatin, and fluorouracil as systemic treatment for advanced gastric carcinoma: a randomized phase II trial of the swiss group for clinical cancer research. J Clin Oncol. 2007, 25: 3217-3223. 10.1200/JCO.2006.08.0135.CrossRefPubMed
24.
go back to reference Ajani JA, Fodor MB, Tjulandin SA, Moiseyenko VM, Chao Y, Cabral Filho S, Majlis A, Assadourian S, Van Cutsem E: Phase II multi-institutional randomized trial of docetaxel plus cisplatin with or without fluorouracil in patients with untreated, advanced gastric, or gastroesophageal adenocarcinoma. J Clin Oncol. 2005, 23: 5660-5667. 10.1200/JCO.2005.17.376.CrossRefPubMed Ajani JA, Fodor MB, Tjulandin SA, Moiseyenko VM, Chao Y, Cabral Filho S, Majlis A, Assadourian S, Van Cutsem E: Phase II multi-institutional randomized trial of docetaxel plus cisplatin with or without fluorouracil in patients with untreated, advanced gastric, or gastroesophageal adenocarcinoma. J Clin Oncol. 2005, 23: 5660-5667. 10.1200/JCO.2005.17.376.CrossRefPubMed
25.
go back to reference Ridwelski K, Gebauer T, Fahlke J, Kröning H, Kettner E, Meyer F, Eichelmann K, Lippert H: Combination chemotherapy with docetaxel and cisplatin for locally advanced and metastatic gastric cancer. Ann Oncol. 2001, 12: 47-51.CrossRefPubMed Ridwelski K, Gebauer T, Fahlke J, Kröning H, Kettner E, Meyer F, Eichelmann K, Lippert H: Combination chemotherapy with docetaxel and cisplatin for locally advanced and metastatic gastric cancer. Ann Oncol. 2001, 12: 47-51.CrossRefPubMed
26.
go back to reference Philip PA: Experience with docetaxel in the treatment of gastric cancer. Semin Oncol. 2005, 32: S24-S38.CrossRefPubMed Philip PA: Experience with docetaxel in the treatment of gastric cancer. Semin Oncol. 2005, 32: S24-S38.CrossRefPubMed
Metadata
Title
Histological complete response to a combined docetaxel/cisplatin/fluorouracil neoadjuvant chemotherapy for T4 stage gastric adenocarcinoma
Authors
Ming gao Guo
Qi Zheng
Jian zhong Di
Zhe Yang
Publication date
01-12-2014
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2014
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-12-150

Other articles of this Issue 1/2014

World Journal of Surgical Oncology 1/2014 Go to the issue