title: [A Patient with Stage IV Gastric Cancer Who Survived More Than Five Years after Gastrectomy].
abstract: The prognosis of patients with Stage IV gastric cancer is generally poor. The 5-year overall survival rate is less than 10%. The patient was a 73-year-old man with Stage IV gastric cancer. Before chemotherapy, peritoneal dissemination was observed using staging laparoscopy. The patient received first-line chemotherapy with TS-1 plus CDDP. Renal function worsened and consequently the therapy was stopped. He received 3 courses of chemotherapy with weekly PTX. The peritoneal dissemination had disappeared by the second staging laparoscopy and he underwent distal gastrectomy. The final diagnosis was pT4a, ly2, v1, pN2(4/16),M0, fStage III B. The patient received adjuvant chemotherapy of TS-1 for 4 years and 8months after gastrectomy. More than 5 year after gastrectomy, the patient is alive without recurrence.
authors.affiliation: Dept. of Surgery, Tsuchiura Kyodo General Hospital.
authors.forename: Ayumi
authors.initials: A
authors.lastname: Takaoka
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Usui
authors.forename: Yuuichi
authors.initials: Y
authors.lastname: Kumaki
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Akutsu
authors.forename: Hiroko
authors.initials: H
authors.lastname: Matsunaga
authors.forename: Masaki
authors.initials: M
authors.lastname: Tashiro
authors.forename: Kaida
authors.initials: K
authors.lastname: Arita
authors.forename: Shigeo
authors.initials: S
authors.lastname: Haruki
authors.forename: Koji
authors.initials: K
authors.lastname: Ito
authors.forename: Akiyo
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Noriaki
authors.initials: N
authors.lastname: Takiguchi
mesh_terms: D000368:Aged; D005743:Gastrectomy; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D010534:Peritoneal Neoplasms / Q000188:drug therapy / Q000556:secondary; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D013997:Time Factors