2006 Volume 67 Issue 9 Pages 2066-2069
We report a case of advanced gastric cancer with tumor thrombus in the portal vein. A 57-year-old man was admitted in May 2005 for gastric cancer. Gastrointestinal fiberscopy showed a type 2 tumor in the stomach. Computed tomography showed the tumor thrombus in the portal vein. We performed a total gastrectomy with combined resection of the pancreas body, spleen and partial transverse colon, a long with removal of the tumor thrombus. He underwent adjuvant chemotherapy with TS-1, and is doing well without any recurrence more than 12 months after surgery.