Gastric cancer with synchronous unresectable hepatic metastasis and a positive response to chemotherapy —Report of two cases— |
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| Authors: | Shigeru Fujimoto MD Ram Dhoj Shrestha Junji Kasanuki Masashi Kokubun Noboru Ichiki Akira Miyazaki Masayasu Ohta Katsuji Okui |
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| Affiliation: | (1) First Department of Surgery School of Medicine, Chiba University, 1-8-1 Inohana, 280 Chiba, Japan;(2) Second Department of Internal Medicine, School of Medicine, Chiba University, 1-8-1 Inohana, 280 Chiba, Japan;(3) Division of Surgery, National Sanatorium Shimoshizu Hospital, Japan;(4) Division of Surgery, Sumitomo Heavy Industries Uraga Hospital, Japan |
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| Abstract: | We report herein the clinical events seen in two longterm survivors of gastric cancer with unresectable synchronous hepatic metastases. Partial gastrectomy was performed against the primary lesion and continuous intra-arterial infusion of anti-tumor drugs, followed by prolonged systemic antitumor drug treatment, were prescribed. A 43-year-old man with moderately-differentiated tubular adenocarcinoma had an uneventful course during his first 21 postoperative months. However, multiple liver metastases became manifest at 24 months and enlargement of the intrahepatic foci led to death 27 months after gastrectomy. A 51-year-old woman with moderagely-differentiated tubular adenocarcinoma had an uneventful postoperative course and is now well with no signs of recurrence 6 years and 6 months after gastrectomy. |
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| Keywords: | gastric cancer liver metastasis intra-arterial chemotherapy long-term survivor |
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