title: [A Case of Giant Liver Metastasis from Gastric Cancer after Surgery for Which Transcatheter Arterial Embolization and Chemotherapy Made Hepatic Resection Possible].
abstract: The prognosis of liver metastasis from gastric cancer, which often exhibits incurable factors, is dismal, and no effective therapy exists. We report a case of giant liver metastasis from gastric cancer after surgery, for which transcatheter arterial embolism and chemotherapy(G-SOX)made it possible to perform hepatic resection. The patient was a 78-year-old woman who underwent distal gastrectomy combined with D2 lymphadenectomy at our department in August 2014. She complained of abdominal distension, and a liver metastasis measuring more than 16 cm in diameter was found on computed tomography in April 2015. Transcatheter arterial embolization was performed followed by chemotherapy(9 courses of G-SOX were administered). These therapies were effective, enabling partial hepatic resection to be performed. The patient remains alive and free from recurrence 4 months after surgery. Although no effective therapy exists for liver metastasis from gastric cancer, intensive therapies may enable curative resection.
authors.affiliation: Dept. of Surgery, Saiseikai Shigaken Hospital.
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Ochi
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Takashima
authors.forename: Jun
authors.initials: J
authors.lastname: Shibamoto
authors.forename: Kento
authors.initials: K
authors.lastname: Kurashima
authors.forename: Ayana
authors.initials: A
authors.lastname: Sakuramachi
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Daisuke
authors.initials: D
authors.lastname: Iitaka
authors.forename: Susumu
authors.initials: S
authors.lastname: Nakashima
authors.forename: Junshin
authors.initials: J
authors.lastname: Fujiyama
authors.forename: Toshikazu
authors.initials: T
authors.lastname: Kato
authors.forename: Genichi
authors.initials: G
authors.lastname: Kato
authors.forename: Masamichi
authors.initials: M
authors.lastname: Banba
authors.forename: Mamoru
authors.initials: M
authors.lastname: Masuyama
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D004621:Embolization, Therapeutic; D005260:Female; D005743:Gastrectomy; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary / Q000628:therapy; D013274:Stomach Neoplasms / Q000188:drug therapy* / Q000473:pathology* / Q000628:therapy; D016896:Treatment Outcome