A case experienced long-term survival after repeat hepatectomy for liver metastases from gastric cancer

Rie Makuuchi, Etsuro Bando, Hironobu Goto, Yuichiro Miki, Yuushi Yamakawa, Norihiko Sugisawa, Masanori Tokunaga, Yutaka Tanizawa, Taiichi Kawamura, Katsuhiko Uesaka, Masanori Terashima

Research output: Contribution to journalArticlepeer-review

Abstract

Although the standard treatment for liver metastasis from gastric cancer is chemotherapy, there are several reports demonstrating better survival after hepatectomy. However, repeat hepatectomy for liver metastasis is still rare. We present a case of long-term survival after repeat hepatectomy for liver metastasis from gastric cancer. A 68-year-old male underwent distal gastrectomy with D2 lymphadenectomy for a gastric cancer. The histopathological finding revealed that the tumor was a moderately-differentiated tubular adenocarcinoma 43 mm in diameter, with invasion to subserosa (T3; SS). There was one metastasis to the regional lymph node (#11p). The tumor was classified as T3N1M0 (stage IIB) according to the 14th edition of the Japanese Classification of Gastric Carcinoma. Fourteen months after the operation, computed tomography revealed two metastases in the lateral segment of the liver. He underwent left lateral segmentectomy followed by adjuvant chemotherapy with S-1 (100 mg) for one year. Sixteen months after the hepatectomy, a solitary hepatic metastasis 30 mm in size at segment 8 was found by follow-up CT scan. He underwent repeat hepatectomy. He is free of recurrence now without adjuvant chemotherapy four years after repeat hepatectomy.

Original languageEnglish
Pages (from-to)95-98
Number of pages4
JournalJapanese Journal of Cancer and Chemotherapy
Volume40
Issue number1
Publication statusPublished - 2013 Jan
Externally publishedYes

Keywords

  • Gastric cancer
  • Liver metastasis
  • Repeat hepatectomy

ASJC Scopus subject areas

  • Medicine(all)

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