胃癌術後肝転移に対して集学的治療により長期生存を得られた１症例

戸谷 裕之; 竹吉 泉; 高橋 研吾; 宮前 洋平; 田中 和美; 高橋 憲史; 平井 圭太郎; 塚越 浩志; 小川 博臣; 戸塚 統; 吉成 大介; 須納瀬 豊

doi:10.2974/kmj.62.291

CASE REPORTS

A Case of Long-term Survival with Hepatic Metastasis after a Curative Gastrectomy and Multidisciplinary Therapy

Hiroyuki Toya, Izumi Takeyoshi, Kengo Takahashi, Yohei Miyamae, Kazumi Tanaka, Norifumi Takahashi, Keitaro Hirai, Hiroshi Tsukagoshi, Hiroomi Ogawa, Osamu Totsuka, Daisuke Yoshinari, Yutaka Sunose

Author information

Hiroyuki Toya
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Izumi Takeyoshi
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Kengo Takahashi
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Yohei Miyamae
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Kazumi Tanaka
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Norifumi Takahashi
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Keitaro Hirai
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Hiroshi Tsukagoshi
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Hiroomi Ogawa
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Osamu Totsuka
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Daisuke Yoshinari
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Yutaka Sunose
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine

Keywords: gastric cancer, liver metastasis, multidisciplinary therapy, long-term survival

JOURNAL FREE ACCESS

2012 Volume 62 Issue 3 Pages 291-294

DOI https://doi.org/10.2974/kmj.62.291

Details

Abstract

A 72-year-old male underwent a distal gastrectomy (pT2, N0, H0, P0, M0, pStage IB) for gastric cancer in 2004. Gastrointestinal endoscopy indicated early gastric cancer in the remnant stomach in August 2005, and he underwent endoscopic submucosal dissection. In January 2006, computed tomography showed a metastasis in the liver S4 segment. He was treated with S-1 and radiofrequency ablation (RFA). Subsequently, there was a liver recurrence. We administered various chemotherapies, transarterial infusion chemotherapy, RFA, and partial hepatic resection. This achieved survival for 4 years and 11 months after the liver metastasis.

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