| Item type |
文献 / Documents(1) |
| 公開日 |
2017-11-06 |
| アクセス権 |
|
|
アクセス権 |
open access |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
当科におけるStage IVb膵癌の治療成績 |
| タイトル |
|
|
タイトル |
トウカ ニオケル Stage IVb スイガン ノ チリョウ セイセキ |
| タイトル別表記 |
|
|
その他のタイトル |
Evaluation and treatment of Stage IVb pancreatic cancer |
| 著者 |
宮本, 英典
栗田, 信浩
三宅, 秀則
藤井, 正彦
佐々木, 克哉
高木, 敏秀
鷹村, 和人
森根, 裕二
居村, 暁
田代, 征記
|
| 抄録 |
|
|
内容記述 |
Pancreatic cancer is often detected in a far advanced stage and the prognosis is still extremely poor. A clinicopathological study was made on 49 patients with Stage IVb pancreatic cancer treated at our department from March 1994 to February 2002. In this study, patient factors (age and gender), tumor factors (hepatic metastasis, peritoneal dissemination, and distant metastasis), and treatment factors (systemic chemotherapy, intra- and postoperative radiotherapy, some treatments to hepatic metastasis, and surgical resection) were examined, and the survival was evaluated statistically. Overall mean survival was 150 days and the 1-year survival rate was 0%. With multivariate analysis, prognostic factors were hepatic metastasis, peritoneal dissemination and some treatments to hepatic metastasis. In advanced pancreatic cancer with hepatic metastasis, the prognostic factor was just some treatments to hepatic metastasis. Systemic chemotherapy with somatostatin analog was ineffective. At present we use either gemcitabine or 5FU in systemic chemotherapy for Stage IVb pancreatic cancers without hepatic metastasis, and conduct hepatic arterial infusion therapy for those with hepatic metastasis. |
| キーワード |
|
|
主題 |
Stage IVb pancreatic cancer |
| キーワード |
|
|
主題 |
prognostic factor |
| キーワード |
|
|
主題 |
hepatic metastasis |
| キーワード |
|
|
主題 |
treatment |
| キーワード |
|
|
主題 |
somatostatin analog |
| 書誌情報 |
ja : 四国医学雑誌
巻 59,
号 1-2,
p. 30-34,
発行日 2003-04-25
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| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
00373699 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00102041 |
| 出版者 |
|
|
出版者 |
徳島医学会 |
| EID |
|
|
識別子 |
139059 |
| 言語 |
|
|
言語 |
jpn |
sam_59_1-2_30.pdf (47.3 KB)
