A case of advanced gastric carcinoma with liver metastasis with no recurrence and long survival by means of surgery and postoperative chemotherapy

: A 69-year-old man was diagnosed with type 2 advanced gastric carcinoma at the antrum of the stomach with liver metastasis (S8) in July 1995. Operative staging was H1P0T2N2 stage IV. Distal partial gastrectomy was performed with combined D2 lymphadenectomy and partial hepatectomy. Fifty-six courses of low-dose chemotherapy with CDDP and 5-FU were administered from the time of surgery to March 1997. Sequentially the administration of UFT (150 mg/day, orally) was continued up to the present. The patient still has had no recurrence 6 years and 3 months after operation. Aggressive treatment combining surgery and long-term postoperative chemotherapy is potentially useful in contributing to long survival in cases of advanced gastric cancer with liver metastasis.