title: [A Case of AFP and PIVKA- II Producing Gastric Cancer Presenting with Metachronous Multiple Liver Metastases].
abstract: A 55-year old man underwent distal gastrectomy with lymphadenectomy for gastric cancer(T1N0M0, Stage I A). Six months after the radical operation, he presented with multiple liver metastases. Based on immunohistochemical examination, he was diagnosed with AFP-producing gastric cancer and metachronous liver metastases. He underwent a surgery to remove the liver metastases. Two months after the surgery, recurrent tumors were found in the lung and remnant liver. He received chemotherapy(S-1/CDDP and CPT-11/CDDP)for the recurrent tumor and lived for 15 months after the surgical intervention.
authors.affiliation: Dept. of Regenerative Surgery, Fukushima Medical University.
authors.forename: Junichiro
authors.initials: J
authors.lastname: Watanabe
authors.forename: Akira
authors.initials: A
authors.lastname: Kenjo
authors.forename: Zenichiro
authors.initials: Z
authors.lastname: Saze
authors.forename: Takashi
authors.initials: T
authors.lastname: Kimura
authors.forename: Naoya
authors.initials: N
authors.lastname: Sato
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Osuka
authors.forename: Hisahito
authors.initials: H
authors.lastname: Endo
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Hanayama
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tada
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Kikuchi
authors.forename: Makoto
authors.initials: M
authors.lastname: Muto
authors.forename: Akinao
authors.initials: A
authors.lastname: Kaneta
authors.forename: Atushi
authors.initials: A
authors.lastname: Nishimagi
authors.forename: Shigeru
authors.initials: S
authors.lastname: Marubashi
authors.forename: Mitsukazu
authors.initials: M
authors.lastname: Gotoh
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D015415:Biomarkers / Q000032:analysis; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D005743:Gastrectomy; D006801:Humans; D008113:Liver Neoplasms / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011498:Protein Precursors / Q000032:analysis; D011516:Prothrombin / Q000032:analysis; D013274:Stomach Neoplasms / Q000737:chemistry / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D000509:alpha-Fetoproteins / Q000032:analysis
chemical_list: D015415:Biomarkers; D011498:Protein Precursors; D000509:alpha-Fetoproteins; C008208:acarboxyprothrombin; D011516:Prothrombin