Table III.
Case | Preoperative chemotherapy | Surgical procedure | Evans classification | Adjuvant chemotherapy | Recurrence after surgery | Treatments | Date of operation |
---|---|---|---|---|---|---|---|
Present case | No | SSPPD | - | GEM + S-1 | 15 months | cCR | March 2011 |
Responder | GEM (6 months) + GEM + nab-PTX (6 months) | SSPPD | Grade III | S-1 | 24 months | Tumor shrunk with chemotherapy; after chemotherapy, conversion surgery was performed | December 2018 |
Non-responder case 1 | GEM + S-1 (2 cycle) | SSPPD | Grade Ib | S-1 | 6 months | GEM + S-1, and GEM + nab-PTX performed after recurrence but no response | February 2020 |
Non-responder case 2 | GEM + S-1 (2 cycle) | SSPPD | Grade Ia | GEM | 5 months | Cancer recurred during adjuvant chemotherapy | March 2021 |
GEM, gemcitabine. nab-PTX, nab-paclitaxel; SSPPD, subtotal stomach-preserving pancreaticoduodenectomy. Evans classification, tumor cell destruction Grade I <10%, Grade IIa 10–50%, Grade IIb 50–90%, Grade III >90%, Grade IV no viable cells.