2010 Volume 69 Issue 6 Pages 357-360
Advanced gastric cancer is one of the common diseases that can be treated at ordinary hospitals. However cardiac surgery can only be performed in a limited number of institutes. We experienced a case of advanced gastric carcinoma and left atrial myxoma that was immediately treated by close collaboration between two hospitals in cooperation with the Nihon University School of Medicine. After curative surgery for advanced gastric carcinoma, the left atrial myxoma was resected. Shortly after the cardiac surgery, ultrasonography showed hepatic metastases from the gastric carcinoma. Chemotherapy was initiated with CDDP/S-1. After the initiation of chemotherapy, the liver metastases decreased markedly in size. The patient continues to undergo out-patient treatment using S-1 with a good quality of life.