Successful Surgical Resection of Synchronous Liver Metastasis with Portal Tumor Thrombus from Alpha-Fetoprotein-Producing Gastric Cancer without Recurrence more than 5 Years after Surgery: Report of a Case

• 東, 正樹

• 鈴木, 昌八

• 坂口, 孝宣

• 太田, 茂安

• 稲葉, 圭介

• 馬場, 聡

• 今野, 弘之

• 中村, 達

Bibliographic Information

Other Title

• 5年無再発生存中の門脈腫瘍栓を伴うAFP産生残胃癌肝転移の1例

Abstract

We report a 67-year-old man with alpha-fetoprotein (AFP)-producing gastric cancer and synchronous liver metastasis with a portal tumor thrombus. After being followed up elsewhere for hepatitis C virus infection, he was admitted in August 1999 for a liver tumor found due to high serum AFP. Abdominal CT showed a 7.5cm-diameter tumor developing into a portal branch in the right hepatic lobe. Gastrointestinal fiberscopy showed a type 2 tumor in the remnant stomach, histologically diagnosed as poorly differentiated adenocarcinoma. We diagnosed lesions as hepatocellular carcinoma and gastric cancer in the remnant stomach. Three weeks after percutaneous transhepatic portal embolization, we conducted extended right hepatic lobectomy and partial gastric resection. Since both hepatic and gastric tumors were positive for AFP immunohistochemical staining, we diagnosed him histologically as having AFP-producing gastric cancer with liver metastasis. He underwent adjuvant chemotherapy with 5-FU and CDDP and is doing well without recurrence more than 5 years after surgery.

Journal

• The Japanese Journal of Gastroenterological Surgery

  The Japanese Journal of Gastroenterological Surgery 38 (8), 1301-1305, 2005-08-01

  日本消化器外科学会

Keywords

• AFP-producing gastric cancer
• portal tumor thrombus
• liver metastasis

Details

• CRID: 1050282676648118400
• NII Article ID: 110001553589
• NII Book ID: AN00192066
• ISSN: 13489372
• ISSN: 03869768
• HANDLE: 10271/60
• Web Site: https://hama-med.repo.nii.ac.jp/records/42
• Web Site: https://search.jamas.or.jp/link/ui/2005215306
• Text Lang: ja
• Article Type: journal article
• Data Source:
  • IRDB
  • CiNii Articles