[A Case of Giant XXXX with Multiple Hepatic Metastases with Long-Term Survival after Multimodal Therapy].

@entity1 @entity677 @entity39 @entity733 @entity490 @entity674 @entity2213 @entity356
Amale @entity1 in his 40s presented with @entity490 and mass palpitation. He was diagnosed with a submucosal @entity356 and referred to our clinic. Computed topography(CT)scan revealed a large @entity356 and multiple hepatic metastases. He was diagnosed with unresectable @entity674 ( @entity677 )and began @entity2213 treatment. However, 2 weeks later, the @entity1 developed a high fever and @entity490 . Tumor @entity39 and @entity733 formation was observed on the CT scan. We performed emergency surgery, which comprised partial gastrectomy, distal pancreatectomy, and splenectomy, combined with radiofrequency ablation(RFA)for the hepatic metastases. Subsequently, he continued @entity2213 therapy. However, a new lesion developed in the liver and was diagnosed as @entity2213 -resistant disease. The new lesion was treated with RFA. Eight years after the treatment, a new lesion occurred in the liver, which was difficult to excise owing to the location. Accordingly, a right-hepatic lobectomy was performed. Currently, he is alive and continues on @entity2213 therapy.
