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Kohira, Yoshinori; Ishibashi, Yuji; Egawa, Hiroki; Yube, Yukinori; Kaji, Sanae; Kanda, Satoshi; Oka, Shinichi; Kajiyama, Yoshiaki; Sakamoto, Kazuhiro; Fukunaga, Tetsu
Gan to kagaku ryoho 46, Issue: 5Journal Article
A 68-year-old female patient presented with advanced gastric cancer and multiple hepatic tumors. Upper GI endoscopy showed a type 3 lesion in the posterior wall of the gastric body. Abdominal computed tomography revealed multiple liver metastases, and staging laparoscopy identified peritoneal dissemination. She was diagnosed with clinical Stage Ⅳ gastric cancer(cT3N2M1H1). She received 3 courses of combined chemotherapy containing S-1 and cisplatin. The therapeutic response was PR. We performed total gastrectomy with D2 lymph node dissection and splenectomy. Histopathological examination revealed no residual cancer cells, indicating pCR. She continued S-1 adjuvant chemotherapy and has remained free from recurrence for 18 months.
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