A Case of Double Cancer (AFP–Producing Gastric Cancer and Rectal Cancer) with Synchronous Liver Metastases Successfully Treated with Combined CapeOX and Surgery

Abstract

A 73-year-old male complaining of bloody stool was diagnosed with double cancer of the stomach and the rectum. Laboratory data showed a high level of serum alpha-fetoprotein [AFP (4633.4→13,623ng/mL)]. A computed tomography (CT) scan showed multiple liver metastases. CapeOX therapy was administered and was remarkably effective. The serum AFP level normalized, and a follow-up CT scan showed a remarkable reduction in liver metastases. We performed distal gastrectomy and low anterior resection of the rectum as well as partial resection of the liver. The patient is currently alive and shows no recurrence 3 years and 3 months after the operation without adjuvant chemotherapy.
Here we report a case of long-term survival without recurrence in a patient with double cancer (AFP-producing gastric cancer and rectal cancer) and synchronous liver metastases who was successfully treated with systemic chemotherapy and operation.