title: [A case of gastric cancer with extraordinary liver metastasis effectively treated by adjuvant chemotherapy].
abstract: This was an extraordinary liver metastasis case with complication when the patient, a 70-year-old male, was diagnosed with stomach cancer for the first time. However, the patient has been in remission and is a long-term survivor due to an active chemotherapy after the operation. His chief complaints were stomachache and a loss of weight. He was diagnosed with stomach cancer by endoscopy. During the surgery, the mass was found to be 3 QFB palpable caused from hepatomegaly. The liver dysfunction was revealed in the blood biochemistry inspection. The abdominal CT revealed that the stomach cancer had spread to the whole liver. Distal gastrectomy was performed on May 22, 1997. In pathological findings, the tumor was diagnosed as a well-differentiated adenocarcinoma. Final findings: M, type3, T3 (SE), N2, H3, P0, CY0, and Stage IVb. The 5-FU based chemotherapy was performed and a complete response was temporarily obtained. However, it has recurred one year later and two or more kinds of chemotherapy have continued. He is alive for more than 7 years and comes to our hospital as an outpatient.
authors.affiliation: Division of Surgery, Tokyo City Hospital Ohkubo.
authors.forename: Masahide
authors.initials: M
authors.lastname: Ohbu
authors.forename: Michio
authors.initials: M
authors.lastname: Maruyama
authors.forename: Kiyomi
authors.initials: K
authors.lastname: Kato
authors.forename: Ayaki
authors.initials: A
authors.lastname: Koide
authors.forename: Kumi
authors.initials: K
authors.lastname: Hasegawa
authors.forename: Shoji
authors.initials: S
authors.lastname: Maruyama
authors.forename: Itaru
authors.initials: I
authors.lastname: Takashima
authors.forename: Masakazu
authors.initials: M
authors.lastname: Ebuchi
mesh_terms: D000230:Adenocarcinoma / Q000188:drug therapy* / Q000473:pathology* / Q000556:secondary; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D017024:Chemotherapy, Adjuvant; D006801:Humans; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary*; D008297:Male; D013274:Stomach Neoplasms / Q000473:pathology*