A Patient with Advanced Gastric Cancer, Underwent Curative Gastrectomy and Partial Resection of Metachronous Hepatic Metastases, Is Surviving for 13 Years to Date
| Autor: | Yasuhiro Terasaki, Kazuo Shirouzu, Keishirou Aoyagi, Jinryou Takeda, Kikuo Koufuji, Motoshi Miyagi, Naotaka Murakami, Shojiro Yano |
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| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Mitomycin medicine.medical_treatment Disease-Free Survival Metastasis Gastrectomy Stomach Neoplasms medicine Humans Stage (cooking) Lymph node Antibiotics Antineoplastic business.industry Liver Neoplasms Cancer General Medicine Middle Aged Advanced gastric cancer medicine.disease Combined Modality Therapy Surgery Dissection medicine.anatomical_structure Adenocarcinoma business |
| Zdroj: | The Kurume Medical Journal. 49:53-56 |
| ISSN: | 1881-2090 0023-5679 |
| Popis: | We have reported a successful case of curative partial liver resection of metachronous liver metastasis from advanced gastric cancer. The patient was 56 years old and has undergone total gastrectomy with D2 lymph node dissection (2 type, well-differentiated adenocarcinoma, H0P0n0se, Stage 2). At 18 months later, follow-up ultrasound detected liver metastasis in the right posterior segment. Together with other imaging modalities, it was diagnosed as a solitary lesion without any other recurrence, and we performed partial resection of the right posterior segment. During the operation, there was no sign of any other recurrence (no peritoneal dissemination, no lymph node metastasis, and no other liver metastasis). Two Mitomycin-C (MMC) intravenous injections were given as postoperative chemotherapy. Usually, surgery for liver metastasis from gastric cancer is very rare as a curative therapy, because it is difficult to predict the effectiveness of the operation. In the present case, we decided on the operation since there was no sign of any other recurrence. It has now been 13 years to date since the partial liver resection and the patient remains free from recurrence. |
| Databáze: | OpenAIRE |
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