Abstract
The patient was a man in 50s. He complained of weight loss, and consulted a doctor. An endoscopic examination revealed advanced gastric cancer which invaded the esophagus. The patient was referred to our hospital. Abdominal computed tomography revealed multiple swollen regional lymph nodes, including para-aortic lymph nodes. This findings suggested metastases. We performed a total gastrectomy with para-aortic lymph node dissection. The number of dissected lymph nodes was 91, and metastases were identified in 22 including 11 positive lymph nodes out of 36 dissected para-aortic lymph nodes. This patient has been doing well for 7 year since D3 dissection with no signs of reccurence, though he refused adjuvant chemotherapy. We report herein a rare case of multiple para-aortic lymph node metastases who achieved 7 year survival after D3 dissection, with a review of the literature.
