Successful treatment of recurrent liver metastases from gastric cancer by repeated hepatic resections: Report of a case

Zenichi Morise, Kazuo Yamafuji, Tetsuya Takahashi, Atsunori Asami, Kaoru Takeshima, Noritaka Hayashi, Atsuko Fukazawa, Fumiko Yoshida, Manabu Yamamoto, Yasuyuki Tokura

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Abstract

We describe herein the case of a patient in whom recurrent liver metastases from gastric cancer were successfully treated by performing repeated hepatic resections. A 63-year-old man underwent a total gastrectomy with regional lymph node dissection for an advanced gastric cancer on November 17, 1992, the pathological findings of which confirmed a diagnosis of well-differentiated tubular adenocarcinoma, ss, INFα, ly1, v0, n1(+). Follow-up computer tomography (CT) and ultrasonography scans done 7 months after the gastrectomy revealed a metastasis in the liver S5, and a partial resection of S5 was performed on July 5, 1993. Subsequently, on November 17, 1994, an anterior segmentectomy of the liver was performed for a liver metastasis in the liver S8, then on August 11, 1998, a partial resection of the liver S6 was performed for a metastasis in the liver S6. The pathological findings of each liver specimen resected were compatible with metastatic adenocarcinoma from the primary gastric cancer. The liver tumors were expansive-growing tumors with capsules and massive necrosis. The patient is currently well with no evidence of recurrence on repeat CT scans, 6 years 6 months since-the initial gastrectomy, and 5 years 10 months since the first hepatic resection.

Original languageEnglish
Pages (from-to)1041-1045
Number of pages5
JournalSurgery Today
Volume30
Issue number11
DOIs
Publication statusPublished - 01-01-2000
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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    Morise, Z., Yamafuji, K., Takahashi, T., Asami, A., Takeshima, K., Hayashi, N., Fukazawa, A., Yoshida, F., Yamamoto, M., & Tokura, Y. (2000). Successful treatment of recurrent liver metastases from gastric cancer by repeated hepatic resections: Report of a case. Surgery Today, 30(11), 1041-1045. https://doi.org/10.1007/s005950070031