Tatsubayashi Taichi, Tanishima Hiroyuki, Iwakura Shinji, Tominaga Toshiji, Kimura Masamichi, Horiuchi Tetsuya, Hoshida Yoshihiko
Dept. of Surgery, National Hospital Organization, Osaka Minami Medical Center.
Gan To Kagaku Ryoho. 2018 Apr;45(4):676-678.
A 49-year-old man was diagnosed with advanced gastric cancer, with a chief complaint of epigastric discomfort. Computed tomography revealed multiple liver metastases. S-1 plus cisplatin therapy was administered as first-line chemotherapy, and after 4courses, the liver metastases markedly reduced. Total gastrectomy with D2 lymphadenectomy and a needle biopsy of segment 2 of the liver were performed. Histopathological examination revealed no viable cancer cells in the resected stomach, lymph nodes, or liver tissue. The primary tumor was defined as Grade 3 by histopathological examination. Adjuvant chemotherapy with S-1 was administered for 1 year. The patient is alive without recurrence more than 6 years after surgery.
