[Pre-operative irradiation in a gastric cancer patient]

Pri bolnikih z neresektabilnim oz. mejno resektabilnim rakom želodca, ki nimajo razsoja bolezni, priporočamo predoperativno radiokemoterapijo, s katero poskušamo zmanjšati tumor in s tem zvišati možnost popolne odstranitve (R0 resekcija). V prispevku je prikazan primer bolnice z rakom želodca v kliničnem stadiju T4 N1 M0, ki je bila zdravljena s predoperativno radiokemoterapijo, ki ji je sledila totalna gastrektomija. Dosežen je bil zelo dober odgovor na predoperativno zdravljenje. Po operaciji je bolnica prejela še dopolnilno kemoterapijo in pet let po zaključku zdravljenja ni imela ponovitve bolezni.In patients with unresectable or borderline resectable gastric cancer with no spreading of the disease, we recommend pre-operative radiochemotherapy, which may reduce the tumour and thus increase the likelihood of complete removal (R0 resection). The article present a case of a female patient with clinical stage T4 N1 M0 gastric cancer treated with pre-operative chemotherapy followed by total gastrectomy. Pre-operative treatment showed a very good response. After surgery, the patient received complementary chemotherapy and had no recurrence of the disease five years after treatment