Long-term recurrence-free survival after hepatic resection for metachronous gastric cancer liver metastases

We present the case of a man who underwent total gastrectomy and splenectomy at the age of 60 for stage IIIa adenocarcinoma of the stomach. Twenty-two months after surgery abdominal CT scan showed two hepatic metastases in segments V and VI. Because of further progression under palliative chemotherapy and reduced tolerance for this treatment, partial hepatectomy of segments V-VI was performed. Currently 72 years old, he is completely symptom-free without evidence for tumor recurrence. This report shows that long-term recurrence-free survival after hepatic resection for gastric cancer liver metastases (GCLM) is possible even in the presence of several unfavorable prognostic factors.