title: [A case of gastric cancer patient with liver metastasis treated by radiofrequency ablation therapy combined with intra-arterial chemotherapy].
abstract: We performed radio-frequency ablation (RFA) therapy combined with intra-arterial chemotherapy for a 71-year old female gastric cancer patient with liver metastasis. She underwent total gastrectomy due to advanced gastric cancer in July of 1996. Because CT scans revealed multiple liver tumors with her, she also underwent intra-arterial chemotherapy comprising of 5-fluorouracil, cis-platinum and Leucovorin. Although her liver tumors decreased in size and number, after 9 months, we had to remove the catheter because of hepatic artery obstruction. Immediately after the removal, 5 hepatic metastases appeared, which were 3.5 cm in maximum diameter. After RFA therapy, CT scans revealed homogenously attenuated lesions. Liver biopsy demonstrated a complete coagulation necrosis. She is currently alive going into 19 months after liver metastasis and 7 months after RFA.
authors.affiliation: Dept. of Gastrointestinal Surgery, Kanazawa Medical University.
authors.forename: Takeo
authors.initials: T
authors.lastname: Kosaka
authors.forename: Hideko
authors.initials: H
authors.lastname: Imaizumi
authors.forename: Keiko
authors.initials: K
authors.lastname: Kamei
authors.forename: Kazuo
authors.initials: K
authors.lastname: Usami
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Nakano
authors.forename: Keiichi
authors.initials: K
authors.lastname: Ueno
authors.forename: Shigeki
authors.initials: S
authors.lastname: Takashima
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary* / Q000628:therapy*; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage*; D017115:Catheter Ablation; D002945:Cisplatin / Q000008:administration & dosage; D005260:Female; D005472:Fluorouracil / Q000008:administration & dosage; D005743:Gastrectomy; D006801:Humans; D007261:Infusions, Intra-Arterial; D002955:Leucovorin / Q000008:administration & dosage; D008113:Liver Neoplasms / Q000473:pathology / Q000556:secondary* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000473:pathology*
chemical_list: D002945:Cisplatin; D002955:Leucovorin; D005472:Fluorouracil