title: [A case of long-term survival after hepatic resection for metastatic gastric cancer].
abstract: We report a case of long-term survival of a patient who underwent hepatic resection for metastatic gastric cancer. The patient was a 75-year-old man who underwent distal gastrectomy for gastric cancer in 2004. On pathological examination, the tumor was diagnosed as T4a (SE) N0M0, stage IIB. A metastatic lesion was detected in segment 6 of the liver at 2 years after gastrectomy. With regard to radiological findings, a single metastatic lesion and no lymph node metastasis or peritoneal recurrence was observed. The hepatic lesion was curatively resected. Another metachronous liver metastasis was identified in segment 7 of the liver at 3 years after gastrectomy. We resected the remnant liver metastasis, after which the patient has not exhibited any evidence of tumor recurrence for more than 5 years. This case suggests that patients could survive for a long period after undergoing resection of hepatic metastasis because no lymph node metastasis was observed during the operation of the primary gastric cancer, only a single hepatic metastasis without any metastasis to other organs was observed, and the metastatic lesion of the liver could be curatively resected.
authors.affiliation: Dept. of Surgery, Toyonaka Municipal Hospital.
authors.forename: Go
authors.initials: G
authors.lastname: Shinke
authors.forename: Takehiro
authors.initials: T
authors.lastname: Noda
authors.forename: Hisanori
authors.initials: H
authors.lastname: Hatano
authors.forename: Keizo
authors.initials: K
authors.lastname: Dono
authors.forename: Junzo
authors.initials: J
authors.lastname: Shimizu
authors.forename: Kazuteru
authors.initials: K
authors.lastname: Oshima
authors.forename: Masakazu
authors.initials: M
authors.lastname: Miyake
authors.forename: Takamichi
authors.initials: T
authors.lastname: Komori
authors.forename: Kenshu
authors.initials: K
authors.lastname: Kawanishi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Imamura
authors.forename: Shunji
authors.initials: S
authors.lastname: Morita
authors.forename: Takashi
authors.initials: T
authors.lastname: Iwazawa
authors.forename: Kenzo
authors.initials: K
authors.lastname: Akagi
authors.forename: Masashi
authors.initials: M
authors.lastname: Kitada
mesh_terms: D000368:Aged; D005743:Gastrectomy; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008297:Male; D009367:Neoplasm Staging; D012008:Recurrence; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome