Igarashi Yuko, Aoki Taro, Kobayashi Kenji, Tanizaki Keiko, Yamanaka Chihiro, Komori Takamichi, Matsumoto Takashi, Takachi Ko, Nishioka Kiyonori, Uemura Yoshio
Department of Surgery, Kinki Central Hospital of Mutual Aid Association of Public School Teachers.
Gan To Kagaku Ryoho. 2009 Nov;36(12):2318-20.
We report herein a long-term survival case of liver metastasis after distal gastrectomy for gastric cancer. A 72-year-old woman, whom we performed distal gastrectomy with D2 lymph node dissection for type 2 gastric cancer at age 66, was diagnosed as pT2N1M0, stage II. No adjuvant therapy was performed. Liver metastasis was found 1 year and 7 months after surgery. PTX plus CPT-11 was performed. Six courses of therapy were done, and found cCR in the liver metastasis. A total of 23 courses of therapy were done. A recurrence of liver metastasis was found, transcatheter arterial chemoembolization (TACE), radiofrequency ablation( RFA)and operation were performed. She received S-1 plus CDDP, and cCR has been maintained for 6 years and 11 months after gastrectomy (5 years and 4 months after liver metastasis) suggesting that the interdisciplinary therapy was effective.
