[Experience with surgical resections of metachronous liver and bilateral pulmonary metastases from gastric cancer].
A 75-year-old female patient underwent distal gastrectomy with lymph node dissection for gastric cancer. Six months later, computed tomography (CT) and magnetic resonance imaging (MRI) revealed liver metastasis and radio frequency ablation (RFA) was performed. Ten months later, she underwent a partial hepatectomy for recurrent hepatic metastasis. Then, pulmonary nodules were revealed 1 year later, and segmentectomy (S4 + S5) for left pulmonary metastasis and wedge resection for right middle lobe pulmonary metastasis were sequentially performed after 9 months and 10 months observation by CT, respectively. Two years have passed since the last surgery, and the patient has survived more than 5 years since initial gastrectomy.
Department of Respiratory Surgery, Kure Medical Center, Chugoku Cancer Center, Kure, Japan.
H
H
Harada
A
A
Nishimura
T
T
Nishimura
H
H
Matsushita
S
S
Okamura
Y
Y
Shimokawa
M
M
Kimura
D000368:Aged; D017115:Catheter Ablation; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery; D016609:Neoplasms, Second Primary / Q000556:secondary; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery