Kötü Prognostik Özelliklere Sahip Mide Kanserinde D2 Diseksiyon ve Karaciğer Metastazektomi Sonrası Gözlenen Üç Yıllık Hastalıksız Sağkalım: Olgu Sunumu

Öz

Karaciğer metastazı olan mide kanserlerinin optimal tedavisi kemoterapi olsa da hepatektomi sonrası daha iyi sağkalım gösteren bazı yayınlar vardır. Metastatik mide kanserinde hepatektomi sonrası sağkalımı etkileyen farklı faktörler olabilir, örneğin invazyon derinliği, lenfatik invazyon, histoloji, metastaz sayısı, metastazektomi zamanı ve metastazın cerrahi sınırı gibi. Bu olguda tanı anında D2 diseksiyon ve karaciğer metastazektomi uygulanan mide kanseri olgusunda cerrahinin önemini vurgulamayı amaçladık. Literatürle karşılaştırdığımızda bizim olgumuzda nöral/lenfovasküler invazyon, periferik doku invazyonu, lenf nodu invazyonu ve tümör genişliğinin fazla olması gibi birçok olumsuz faktör mevcuttu. Bunlara karşın bizim hastamızda literatürdeki olgulara göre daha uzun bir hastalıksız sağkalım saptandı

Anahtar Kelimeler

• Mide kanseri, Hepatik metastazektomi, D2 diseksiyon, Hastalıksız sağkalım

Three-Year Disease-Free Survival After D2 Dissection and Liver Metastasectomy in a Gastric Cancer Case with Poor Prognostic Factors: A Case Report

Abstract

Although the optimal treatment for hepatic metastasis from gastric cancer is chemotherapy, there are a few reports showing better survival after hepatectomy. Various factors such as depth of invasion, lymphatic invasion, histology, number of metastases, time of metastasectomy and surgical margins for hepatic tumors may be associated with the outcome after hepatic metastasectomy in patients with gastric cancer metastasis. Herein we aimed to emphasize the importance of surgical excision in a patient with gastric cancer who underwent surgery of D2 dissection and liver metastasectomy at the time of diagnosis. Compared to the literature cases, our case had many different poor prognostic factors such as neural/lymphovascular invasion, peripheral tissue invasion, lymph node invasion and the size of the tumor. However, our patient had longer disease-free survival compared to the literature cases

Keywords

• Gastric cancer, Hepatic metastasectomy, D2 dissection, Disease-free survival

Kaynakça

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