title: [A case of gastric cancer with synchronous hepatic metastases which enforced the intra hepatic arterial chemotherapy showed a reduction of both tumors].
abstract: This is a case report of the intrahepatic arterial chemotherapy showing an effective reduction of tumors without an operation. The patient was a 68-year-old female. Instead of having an operation to gastric cancer with synchronous hepatic metastases, an intrahepatic arterial embolization of MMC and CPT-11 with DSM was enforced in the right-and-left hepatic arteries, and intrahepatic arterial infusions of 5-FU and CDDP were enforced after that. After intrahepatic infusion, the tumor size and marker of the gastric cancer and synchronous hepatic metastases decreased, and it was diagnosed as partial response (PR). Since the tumor marker showed an increase after thirteen times of the intrahepatic arterial infusions of 5-FU and CDDP, intrahepatic arterial embolization of CPT-11 and MMC with DSM was performed again and the intrahepatic arterial infusions of 5-FU and CDDP were enforced fourteen times after that. Although the tumor marker showed a small range of fluctuation, PR was kept observed and the patient has been stable for fifteen months since the chemotherapy began. She continuously received the combination chemotherapy as an outpatient.
authors.affiliation: Dept. of Gastrointestinal Surgery, Toho University Medical Center, Omori Hospital.
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Yamazaki
authors.forename: Masashi
authors.initials: M
authors.lastname: Watanabe
authors.forename: Masaru
authors.initials: M
authors.lastname: Tsuchiya
authors.forename: Toshio
authors.initials: T
authors.lastname: Katagiri
authors.forename: Jun
authors.initials: J
authors.lastname: Ishii
authors.forename: Hironori
authors.initials: H
authors.lastname: Kaneko
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Teramoto
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D005260:Female; D005773:Gastroscopy; D006801:Humans; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000098:blood supply / Q000188:drug therapy* / Q000473:pathology / Q000556:secondary*; D013274:Stomach Neoplasms / Q000098:blood supply / Q000188:drug therapy* / Q000473:pathology*; D014057:Tomography, X-Ray Computed