[Complete remission of liver metastasis from gall bladder carcinoma after stereotactic radiotherapy-a case report].
A 75-year-old man was diagnosed as gall bladder carcinoma by postoperative histological examination following laparoscopic cholecystectomy. He underwent the second surgery of resection of liver bed and port sites with lymph node dissection. Isolated hepatic metastasis of 20 mm in diameter was found in S4/8 by MRI 18 months postoperatively, and stereotactic radiotherapy (52.8 Gy/4 Fr) was done for the metastatic lesion. The lesion could not be detected by CT 7 months after the radiotherapy, and thereafter no local recurrence has been observed for 24 months. However, lymph node metastasis of #9 was diagnosed 31 months postoperatively. Liniac radiotherapy (60 Gy/20 Fr)was performed and stable disease has been obtained for 9 months. The patient is alive at present of 43 months after surgery without any other site of the disease, and his quality of life is well maintained. Stereotactic radiotherapy showed an excellent local therapeutic effect without any serious complications, suggesting that this is a potent modality for isolated liver metastasis of gall bladder carcinoma.
Dept. of Surgery, NTT West Osaka Hospital.
Takeshi
T
Tono
Chiwan
C
Kim
Koki
K
Takeda
Ami
A
Watanabe
Hidetoshi
H
Nakamura
Katsuki
K
Danno
Naofumi
N
Kagara
Hirokazu
H
Taniguchi
Toshiyuki
T
Kanoh
Yutaka
Y
Kimura
Tadashi
T
Onishi
Yoshiaki
Y
Nakano
Kazufumi
K
Kagawa
Yuji
Y
Yamada
Takushi
T
Monden
Shingi
S
Imaoka
D000368:Aged; D005706:Gallbladder Neoplasms / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008113:Liver Neoplasms / Q000532:radiotherapy* / Q000556:secondary; D008297:Male; D009367:Neoplasm Staging; D012074:Remission Induction; D013238:Stereotaxic Techniques; D014057:Tomography, X-Ray Computed