Long-term Survival After Gastric Cancer and Liver and Paraaortic Lymph Node Metastases: Report of a Case |
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Authors: | Yutaka Yoshizumi Tomokazu Matuyama Hiroshi Koike Satoshi Aiko Yoshiaki Sugiura Tadaaki Maehara |
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Affiliation: | (1) Second Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP |
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Abstract: | We report the case of a 46-year-old man in whom successful resection of carcinoma of the stomach with liver and paraaortic lymph node metastases was carried out. The carcinoma was removed completely with combined resection of the lower esophagus, total stomach, distal pancreas, spleen, two metastatic liver nodes, and groups 1 and 2 and abdominal paraaortic lymph nodes. Adjuvant chemotherapy was admin-istered postoperatively. The patient is currently well with a grade 1 performance status and no signs of recurrence 12 years after his operation. This experience suggests that even the presence of metastatic paraaortic lymph nodes and liver metastases is not necessarily a contraindication to surgery when the carcinoma can be resected curatively and safely. Received: January 31, 2000 / Accepted: July 25, 2000 |
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Keywords: | Gastric carcinoma Liver metastasis Paraaortic lymph node involvement |
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