title: [Surgical Resection for Advanced Gastric Cancer with Portal Vein Tumor Embolus - Two Cases].
abstract: Gastric cancer with portal tumor embolus is rare and there is no definite strategy for its surgical resection. We report 2 cases ofgastric cancer with portal vein tumor embolus treated using gastrectomy and thrombectomy. Case 1: The patient was a 56- year-old man. We performed total gastrectomy, distal pancreatectomy, splenectomy, and thrombectomy. The patient was treated with 4 courses ofS -1 plus CDDP chemotherapy followed by S-1 administration. Eight months after surgery, CT revealed metastasis in the left adrenal gland and he died 2 years after surgery. Case 2: The patient was a 57-year-old man. We performed total gastrectomy, distal pancreatectomy, splenectomy, partial resection of the transverse colon, and thrombectomy. The patient was treated using adjuvant S-1 chemotherapy followed by UFT administration for 3 years. The patient has been alive with no tumor recurrence for the past 10 years. If there is no other therapeutic option for portal vein embolus, gastrectomy with thrombectomy could increase the possibility oflong -term survival.
authors.affiliation: Dept. of Surgery, Japan Community Health care Organization(JCHO)Osaka Hospital.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Noro
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Morimoto
authors.forename: Shohei
authors.initials: S
authors.lastname: Takaichi
authors.forename: Chihyon
authors.initials: C
authors.lastname: Son
authors.forename: Kazuya
authors.initials: K
authors.lastname: Iwamoto
authors.forename: Emiko
authors.initials: E
authors.lastname: Kono
authors.forename: Keigo
authors.initials: K
authors.lastname: Yasumasa
authors.forename: Takafumi
authors.initials: T
authors.lastname: Hirao
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Mizuno
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Hatanaka
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Yamasaki
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002945:Cisplatin / Q000008:administration & dosage; D004338:Drug Combinations; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010094:Oxonic Acid / Q000008:administration & dosage; D011169:Portal Vein / Q000473:pathology / Q000601:surgery*; D013274:Stomach Neoplasms / Q000098:blood supply* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D005641:Tegafur / Q000008:administration & dosage; D017131:Thrombectomy; D013923:Thromboembolism / Q000473:pathology / Q000601:surgery*
chemical_list: D004338:Drug Combinations; C079198:S 1 (combination); D005641:Tegafur; D010094:Oxonic Acid; D002945:Cisplatin