EIGHT-YEAR LONG-TERM SURVIVAL OF AN ADVANCED GASTRIC CANCER PATIENT TREATED BY MULTIDISCIPLINARY THERAPY INCLUDING REPEATED SURGERY AND METRONOMIC CHEMOTHERAPY

This case was around a 69-year-old male. He had gastric malignancy with broad intra-abdominal lymph hub metastasis, got palliative distal gastrectomy. Although uncommon, some chosen patients with cutting edge gastric malignant growth get an opportunity of long haul survival, similar to the present case. The patient likewise experienced right femoral bone metastasis and IVC tumor thrombus 2.9 years and 6.6 years after the underlying medical procedure, which were treated by radiation treatment. He experienced rehashed resection of metachronous right and left adrenal metastatic sores 2 years and 5.3 years after the underlying activity, individually. The gradually dynamic tumor status was kept up by continuation of metronomic chemotherapy including S-1 as a key medication, and a sum of 8-year long haul survival was accomplished. The viability of multidisciplinary treatment for far cutting edge gastric malignancy patients, particularly a significant job of rehashed medical procedure and metronomic chemotherapy, was talked about in this investigation. Keywords: Repeated surgery; metronomic chemotherapy; distant metastasis; Long-term survival; Multidisciplinary therapy; advanced gastric cancer