Abstract
A 68-year-old female was admitted complaining of general fatigue and lower edema of the extremities. Laboratory tests showed anemia and hypoalbuminemia. Endoscopic examination revealed a Borrmann type 2 gastric cancer on the lesser curvature from the lower corpus to the antrum. Abdominal CT scan and ultrasonographic examination revealed multiple liver metastasis. We considered this case to be an indication for endoscopic local injection of ethanol and Mitomycin C for gastric cancer and an implanta-ble access device catheter injection of FAM (Fluorouracil, Adriamycin, Mitomycin C) for the liver metastasis. The arterial intima was injured when the catheter was placed in the common hepatic artery. Therefore a catheter was placed in the splenic artery and drug was supplied from a side hole. The drug supplied from the left gastric artery to the gastric cancer passed through the right gastric artery and hepatic artery to the liver. We found necrosis of the gastric cancer and liver metastasis after 3 months therapy. This case was ambulatory and was followed up in the outpatient clinic for 12 months. We report good quality of life in a case treated by endoscopic local injection and an implantable access device catheter.
