[A recurrent gastric cancer patient with multiple organ metastasis who achieved partial remission by multidisciplinary therapy (radiochemotherapy plus hyperthermia)].

A 77-year-old male patient visited our hospital for postoperative gastric cancer in September of 2007. He suffered from serious appetite loss, general fatigue, nausea and some other side effects since he was taking S-1(100 mg/day) for the postoperative adjuvant therapy. Chest enhanced CT(as of September, 2007)revealed right mediastinum lymph node metastases and multiple liver metastases that had been diagnosed at the operation were evaluated as remission. He re-started S-1 with a lower dose(80 mg/day)soon after he visited our hospital as an outpatient. That side-effect was slightly improved. However, PET-CT(as of May, 2008)showed another metastasis of left supraclavicular lymph nodes(Virchow lymph nodes). Multidisciplinary therapy, chemotherapy(docetaxel 60 mg/m2, every 3 weeks), radiotherapy and hyperthermia were performed and PET-CT(as of July, 2008)showed left supraclavicular lymph node metastases were evaluated as complete remission, and as to right mediastinum lymph node metastases, we achieved partial remission. Thus, overall partial remission was achieved with the RECIST guideline.