title: [Multidisciplinary Therapy for Advanced Gastric Cancer with Liver and Brain Metastases].
abstract: A 68-year-old man was admitted to our hospital. He was diagnosed with advanced gastric cancer with multiple liver metastases. The primary tumor was treated with distal gastrectomy with D2 dissection and anti-cancer agents, and then he was scheduled for a 2-stage hepatic resection. After surgery, the liver metastases disappeared, and he was diagnosed with a CR. However he complained of dizziness and was diagnosed with metachronous brain matastasis. Multidisciplinary treatment including resection and radiotherapy was administerd and he survived for 5 years after diagnosis.
authors.affiliation: Dept. of Surgery, Sumitomo Hospital.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Nakazawa
authors.forename: Ryota
authors.initials: R
authors.lastname: Tanaka
authors.forename: Naoki
authors.initials: N
authors.lastname: Kametani
authors.forename: Toshiki
authors.initials: T
authors.lastname: Hirakawa
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Kato
authors.forename: Masahiro
authors.initials: M
authors.lastname: Komoto
authors.forename: Shigehito
authors.initials: S
authors.lastname: Yamagata
authors.forename: Isao
authors.initials: I
authors.lastname: Kanehara
authors.forename: Eiji
authors.initials: E
authors.lastname: Ako
authors.forename: Nobuya
authors.initials: N
authors.lastname: Yamada
authors.forename: Shigehiko
authors.initials: S
authors.lastname: Nishimura
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Taenaka
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001932:Brain Neoplasms / Q000556:secondary / Q000628:therapy*; D002945:Cisplatin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D004338:Drug Combinations; D005743:Gastrectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000628:therapy*; D008207:Lymphatic Metastasis; D008297:Male; D010094:Oxonic Acid / Q000008:administration & dosage; D011379:Prognosis; D016634:Radiosurgery; D013274:Stomach Neoplasms / Q000473:pathology / Q000628:therapy*; D005641:Tegafur / Q000008:administration & dosage
chemical_list: D004338:Drug Combinations; C079198:S 1 (combination); D005641:Tegafur; D010094:Oxonic Acid; D002945:Cisplatin