A Case of Advanced Gastric Cancer with Multiple Liver Metastases Treated with Curative Conversion Therapy after S-1 plus CDDP
Shindo, Y.; Fukuda, S.; Kataoka, R.; Kuwamoto, N.; Takaishi, H.; Miura, Y.; Hirayama, R.; Otsuka, R.; Saito, S.; Fujita, R.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 45(3): 480-482
2018
ISSN/ISBN: 0385-0684 PMID: 29650911 Document Number: 696305
A57 -year-old man was diagnosed with advanced gastric cancer(adenocarcinoma[tub2/por1])with multiple(S3, S4, S5, S6, S8)liver and para-aortic lymph node metastases. The tumor was classified as cT4a, N3, M1, HEP, cStage IV, and the patient received chemotherapy with S-1 plus CDDP(SP). After 10 courses of SP, a CT scan revealed that the primary tumor and the metastases disappeared. The patient presented with cCR and underwent distal gastrectomy, D2 lymph node dissection, partial hepatic resection, and cholecystectomy. The histological diagnosis was classified as ypT0N0M0,(ypStage 0), pCR, and pathological Grade 3.