title: [Effects of stereotactic radiotherapy targeting for recurrent gastric cancer].
abstract: We report the effects of stereotactic radiotherapy (SRT) targeting for distant solitary metastases from gastric cancer that were uncontrollable with chemotherapy. SRT(52.8 Gy per 4 fractions) was performed in 3 patients with liver metastasis and 1 patient with lung metastasis. Although SRT showed no effect in the patient with lung metastasis, complete remission from liver metastasis with cystic change was observed in all 3 patients. One patient died due to multiple liver metastasis, and the other 2 patients are alive 27 and 41 months after SRT without liver metastasis. Although pneumothorax and pleural effusion were recognized in 1 case, grade 3 or 4 adverse events were not recognized in all 4 cases. SRT showed excellent local therapeutic effects without serious complications, suggesting that this is an effective treatment for localized metastasis from gastric cancer.
authors.affiliation: Dept. of Surgery, NTT West Osaka Hospital, Japan.
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Taniguchi
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kimura
authors.forename: Chiwan
authors.initials: C
authors.lastname: Kim
authors.forename: Katsuki
authors.initials: K
authors.lastname: Danno
authors.forename: Naofumi
authors.initials: N
authors.lastname: Kagara
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Kanoh
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yoshida
authors.forename: Tadashi
authors.initials: T
authors.lastname: Ohnishi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tohno
authors.forename: Yuji
authors.initials: Y
authors.lastname: Yamada
authors.forename: Kazufumi
authors.initials: K
authors.lastname: Kagawa
authors.forename: Takushi
authors.initials: T
authors.lastname: Monden
authors.forename: Shingi
authors.initials: S
authors.lastname: Imaoka
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery* / Q000628:therapy; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D016634:Radiosurgery / Q000009:adverse effects; D012008:Recurrence; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery* / Q000628:therapy