@article{oai:ir.kagoshima-u.ac.jp:00007329,
 author = {新地, 洋之 and 又木, 雄弘 and 蔵原, 弘 and 前田, 真一 and 野間, 秀歳 and 前村, 公成 and 馬場, 研二 and 北薗, 正樹 and 石神, 純也 and 夏越, 祥次 and 高尾, 尊身},
 issue = {2},
 journal = {鹿児島大学医学雑誌, Medical journal of Kagoshima University},
 month = {},
 note = {A 52-year-old woman with obstructive jaundice was diagnosed as advanced duodenal cancer with distant lymph node metastasis and early rectal cancer based on computed tomography (CT) and gastrointestinal series.　We performed pancreaticoduodenectomy with D3 lymph node dissection.　Metastatic lymph node tissue was submitted to chemosensitivity test.　Based on the chemosensitivity test, FOLFOX (Leucovorin + 5-FU + Oxaliplatin) was administered intravenously.　The patient received 3 cycles of FOLFOX chemotherapy until appearance of grade 4 leucopenia and grade 3 vomiting.　After the FOLFOX, she received 12 cycles of TS-1 + CDDP chemotherapy without serious complications.
　She remained well without any symptoms and pursued normal activity for 27 months. Chemosensitivity test-guided chemotherapy seems to be an effective regimen as an individualized chemotherapy for advanced duodenal cancer.},
 pages = {61--64},
 title = {遠隔リンパ節転移を伴う十二指腸乳頭部・早期直腸同時性重複癌に対して抗癌剤感受性試験に基づいた化学療法が奏効した1例},
 volume = {60},
 year = {2008}
}