A Case of Advanced Gastric Cancer with Gastrocolic Fistula Treated Combining with Docetaxel, Cisplatin, and 5–FU Chemotherapy

Abstract

A 77–year–old man seen for appetite loss and vomiting was found in gastrointestinal endoscopy to have a type 3 tumor on the greater upper gastric corpus curvature. Tumor biopsy showed papillary adenocarcinoma. An upper gastrointestinal series showed a fistula between the stomach and transverse colon. Abdominal CT showed gastric corpus wall thickening with a gastrocolic fistula, multiple metastatic splenic and hepatic tumors and peritoneal dissemination. Chemotherapy combined docetaxel, cisplatin, and 5–FU (DCF). Two chemotherapy courses shrank the primary and metastatic tumors and closed the gastrocolic fistula. He was able to resume oral ingestion and was discharged after an additional course of chemotherapy.