[A case of gastric carcinoma with metachronous liver metastases that responded to percutaneous ethanol injection therapy (PEIT) and TS-1].
A 57-year-old male underwent a total gastrectomy with D1 lymph node dissection for gastric carcinoma. The main tumor was located in area UM, measuring 15 x 6 cm and was classified as type 5. Histopathologically, the cancer cells invaded the subserosal layer with a moderately differentiated tubular pattern. Lymph node metastases (No. 1, 3, 7 and 9) were detected. Lymphatic involvement was revealed (ly 2). Three years after the first surgery, a liver metastasis (area S4) with a diameter of 30 mm was detected by abdominal ultrasonography. Percutaneous ethanol injection therapies (PEIT) were performed twice for the lesion. After PEIT, a TS-1 intake program (80 mg/day, for 4 weeks) was started for the metastatic lesion. Both treatments were effective. The patient has survived without recurrence for over 5 years after the total gastrectomy.
Tazawa
Kenichi
K
Dept. of Surgery, Saito Gastrointestinal Hospital.
Goka
Takekazu
T
Ihara
Yuji
Y
Miura
Fumio
F
Saito
Juichi
J
Tsukada
Kazuhiro
K
Saito
Kiyoko
K
D000431:Ethanol / Q000008:administration & dosage*; D005743:Gastrectomy; D006801:Humans; D015552:Injections, Intralesional; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000556:secondary*; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000188:drug therapy*; D011184:Postoperative Period; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed
D000431:Ethanol