異時性肝転移に対し化学療法後に肝切除を施行した胃癌の1例

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  • A case of hepatic resection for metachronous liver metastases from gastric cancer after chemotherapy
  • ショウレイ イジセイ カン テンイ ニ タイシ カガク リョウホウ ゴ ニ カン セツジョ オ シコウ シタ イガン ノ 1レイ

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A 60-year-old man with a chief complaint of epigastric pain was found to have gastric cancer in the lower stomach. Distal gastrectomy with D2 lymphadenectomy and cholecystectomy were performed. The final diagnosis was papillary and moderately differentiated tubular adenocarcinoma, T2, N0, H0, M0, Stage IB, Cur A. Seven months later, abdominal computed tomography (CT) detected two liver metastases in the S5 and S6. Multiple liver metastases appeared within a short period. He was at risk of developing other lesions, which prompted us to administer TS-1 chemotherapy. Three months later, the two liver metastases had decreased in size and no new lesions were observed on abdominal CT ; therefore, we performed two partial hepatic resections. After the completion of hepatic resections, seven courses of TS-1 chemotherapy were administered. At present, i.e., at 3 years and 10 months after the distal gastrectomy and 2 years and 8 months after the hepatic resections, no relapse has been noted.

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