Abstract
A 74-year-old man complaining of epigastric discomfort was diagnosed as having carcinoma of the stomach at other hospital, and he was referred to our hospital. Distal gastrectomy with D2 dissection was conducted in July 2006. Histopathological and immunopathological examinations showed the tumor to be composed of adenocarcinoma (pap>tub2) and neuroendocrine carcinoma. Postoperative chemotherapy with S-1 was suspended because drug induced eruption occurred. The patient had been followed until 35 months after the operation when periodic abdominal computed tomographic (CT) scan showed a metastatic tumor at S7 of the liver. No other organ metastases were found, and so hepatectomy was conducted in July 2009. The primary tumor of the stomach consisted of adenocarcinoma and neuroendocrine carcinoma, however, the resected metastatic liver tumor consisted of only neuroendocrine carcinoma. He has been alive without recurrence as of 5 years after the gastrectomy and 3 years after the hepatectomy.
