Abstract
A 65-year-old man underwent an esophagogastroduodenoscopy due to a chief complaint of abdominal pain. A type 3 gastric cancer in the greater curvature of the lower gastric body was found and was proven to be moderately differentiated adenocarcinoma through biopsy. An enhanced abdominal computed tomography showed multiple liver metastases and paraaortic lymph node swelling. The gastric cancer was diagnosed as cT2(SS), cN1, cH1, cP0, cM1(LYM), cStage IV according to the Japanese classification of gastric cancer, 13th edition. After 5 courses of chemotherapy with S-1 and cisplatin, liver metastases disappeared. Distal gastrectomy with D3 lymph node dissection was performed. Pathologically, it was diagnosed as pT1(SM), pN0, sH0, sM0, fStage IA, and the histological evaluation criterion of tumor response was Grade 1a. The patient took tegafur/uracil orally for 10 months and has been doing well without relapse for 125 months. Although simultaneous multiple liver metastases from the gastric cancer have poor prognoses, our case was successfully treated with chemotherapy and surgery.
