title: [A resected case of metachronous liver metastasis from mixed adenoneuroendocrine carcinoma of the stomach].
abstract: A 71-year-old woman was found in gastroendoscopic examination to have a type 2 tumor at the posterior wall of the stomach with two type 0-IIa early adenocarcinomas at the lesser curvature and anterior wall. She underwent distal gastrectomy. Pathological evaluation of the type 2 tumor was mixed adenoneuroendocrine carcinoma and that of two type 0-IIa tumors were well differentiated tubular adenocarcinomas. The solitary metastasis was found in liver S8 on 15th month though S-1 was taken after the operation. Partial resection of the liver was performed, and its histological findings were similar to the mixed adenoneuroendocrine carcinoma of the stomach. After adjuvant chemotherapy with S-1+CPT-11 during half a year, S-1 single therapy was done for 16 months, and there is no evidence of recurrence for 28 months after liver resection.
authors: Department of Surgery, National Hospital Organization Kobe Medical Center. mitutuji@kobemc.go.jp
authors: Masaaki
authors: M
authors: Mitsutsuji
authors: Akiharu
authors: A
authors: Okamura
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology*; D000368:Aged; D018278:Carcinoma, Neuroendocrine / Q000473:pathology*; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery*; D016609:Neoplasms, Second Primary / Q000556:secondary; D013274:Stomach Neoplasms / Q000473:pathology*