Abstract
A 58-year-old man underwent right hemicolectomy for cecal cancer (pStage ⅢB) in July 2005. In May 2008, two years after surgery, he developed para-aortic lymph node recurrence and peritoneal dissemination of cancer nodules in contact with the gastric antrum, and received FOLFOX4. During the fourth course of FOLFOX4, he developed cerebral infarction, and was diagnosed with Trousseau syndrome. However, since his PS improved to the extent that he was able to continue to receive treatment, he received another nine courses of mFOFOX-6 along with warfarin therapy. He achieved a CR in the para-aortic lymph nodes and SD in the peritoneally disseminated nodules; therefore, gastrectomy with resection of the peritoneally disseminated nodules was performed in December 2008. After an uneventful postoperative course, he was discharged on the 8th postoperative day, and received postoperative adjuvant chemotherapy with capecitabine for ６ months. The preoperative serum CA19-9 level was very high, at 20,595.5 U/mL, which returned to normal about ６ months later. At present, 36 months after surgery, he is alive and free of recurrence.
