Long-term survivor of gallbladder cancer with multiple lymph node metastases and a single liver metastasis without recurrence: a case report

Abstract

A 77-year-old man was referred to our hospital following the diagnosis of advanced gallbladder cancer with multiple para-aortic lymph node metastases and a single liver metastasis. He underwent combination therapy of gemcitabine and cisplatin. After eight courses, abdominal computed tomography indicated volume reduction of the main tumor and para-aortic lymph nodes and disappearance of the liver metastasis. This remarkable response to neoadjuvant chemotherapy enabled the performance of curative surgery. Pancreatoduodenectomy combined with partial liver resection and lymph node dissection was performed. The patient survived for 53 months from the diagnosis without recurrence.