A Case of Liver Metastasis Originated From Early Gastric Cancer With Long-Term Survival

Abstract

A resectable case of liver metastasis from gastric cancer is rare and has a poor prognosis. We treated a patient with liver metastasis from early gastric cancer in a 65-year-old man who have a 5-year survival. The patient who had undergone a distal partial gastrectomy for early gastric cancer at another hospital 4 years earlier was found to have a metastatic tumor invaded the remnant stomach and pancreas body with high CA19-9 value (2,490U/ml). Left lateral segment of the liver, remnant stomach, distal pancreas and spleen were resected en block. Over 5 years passed since the operation, and no signs of recurrence have occurred with normal CA19-9 level. In our institute, the incidence of liver metastasis from early gastric cancer was 1.17% of a total of 426 cases operated on for early gastric cancer from 1980 to 1992. Although a recurrence case of gastric cancer with high CA19-9 is believed to have poor prognosis, a long-term survival might be expected, if surgery successfully normalizes the high CA19-9 level like in this case.