Korean Journal of Gastrointestinal Endoscopy 1991;11(2): 293-298.
장기간 추적 검사가 가능했던 위암환자 1예 ( A Case of Long Term Survived Advanced Gastric Cancer with Only Conservative Treatment : Clinical and Endoscopic Floow-up for 6.5 Years )
임응훈, 양진모, 신영신, 채현석, 김판규, 정인식, 정규원, 선희식, 김부성, 이교영, 심상인 (Eung Hoon Im, Jin Mo Yang, Young Shin Shin, Hyun Seok Chae, Pan Kyu Kim, In Sik Chung, Kyu Won Chung, Hee Sik Sun, Boo Sung Kim, Kyo Young Lee and Sang In Shim)
Abstract
Gastric cancer is the most common malignancy in Korea. Although five years survival rate of gestric cancer has been gradually improved due to advances in the diagnostic technique and therapeutic modalities, the advanced gastric cancer remains a disease with poor pragnosis. At the time of diagnosis, the disease, is usually advanced and longterm survivor is uncommon without a proper surgical treatment or chemotherapy. We experienced a case of advanced gastric cancer who lived for more than 6 years after making a diagnosis, without curative surgical therapy or chemotherapy. The patient at age of 76 year-old, was seen in St. Mary's hospital due to gastroinestinal bleeding in January of l985. A large ulcerating cancer in the diameter of 2.0 cm was found at the posterior wall of body with endoscopy and confirmed the diagnosis of stomach cancer by the endoscopic biopsy. He was recommended the surgical intervention of gastric cancer but he denied the operation due to his age, He had been treated symptomatically with H2 receptor antagonist and antacid with relief of symptoms. Thereafter he had been followed-up clinically at every 2-4 weeks, and the lesion was examined 3-4 times in a year endoscopically, In May l990, an endoscopic esophageal dilation was done due to esophageal stricture with tumor invasion at the lower esophageal sphincter. He was expired in July, 1991 in this hospital. Here we report a case of long term survived advanced gastric cancer who had been followed-up for 6 and half years clinically and endoscopically with review of literatures.
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