舌根部転移をきたした胃癌の1例

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  • A case of metastasis of advanced gastric cancer to the radix linguae.

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A 50-year-old woman was admitted to our hospital because of poorly differentiatedadenocarcinoma of the stomach and total gastrectomy was performed. Nine months later, there was a irregular ulcer at the right side radix linguae and the histological examination ofthe biopsised specimen revealed poorly differentiated adenocarcinoma. There were alsocervical lympnode swellings and a giant liver nodule. The diagnosis was metastases of gastriccancer to the radix linguae, cervical lympnodes and the liver. Systemic chemotherapy by CDDPand 5FU was done and the effect of the chemotherapy was CR to the ulcer of radix linguae, PRto the lymphnodes of cervicals and PD to the liver metastasis. Metastasis of advanced gastric cancer to the radix linguae is very rare and so far only 2cases have been reported in the Japanese literature except for us.

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