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Japanese Journal of Clinical Oncology 31:407-409 (2001)
© 2001 Foundation for Promotion of Cancer Research

A Case of Bone Metastasis from Gastric Carcinoma After a Nine-year Disease-free Interval

Makoto Kammori1, Yasuyuki Seto1, Nobuko Haniuda1, Masaki Kawahara1, Kaiyo Takubo2, Hisako Endo3 and Michio Kaminishi1,+

1Department of Gastrointestinal Surgery, The University of Tokyo, 2Department of Clinical Pathology, Tokyo Metropolitan Institute of Gerontology and 3Department of Pathology, The University of Tokyo, Tokyo, Japan

A case featuring very late and unusual metastasis of gastric cancer is presented. A 49-year-old woman presented with metastatic disease in the seventh cervical vertebra 9 years after a total gastrectomy for gastric carcinoma. The resected primary tumor was a Borrman type III, poorly differentiated adenocarcinoma which had invaded the subserosal layer of the stomach and had generated lymph node metastases. The patient was treated for the metastatic tumor with sequential administration of cisplatin, calcium leucovorin and 5-fluorouracil and subsequent irradiation. Remission was achieved and she survived for a further 13 months without major symptoms.

+ For reprints and all correspondence: Makoto Kammori, Department of Gastrointestinal Surgery, The University of Tokyo, 3–28–6 Mejirodai, Bunkyo-ku, Tokyo 112-8688, Japan. E-mail: kanmori-dis@h.u-tokyo.ac.jp


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