A Case of Stage IV Gastric Cancer with Pancreatic Invasion Treated with Pancreaticoduodenectomy and Radical Chemotherapy: Long Term Survival without Recurrence Despite Development of Dystrophic Necrotizing Migratory Erythema

Key Points

• The aim is to explore treatment outcomes for stage IV gastric cancer with pancreatic invasion.
• Performed pancreaticoduodenectomy and radical chemotherapy in a 62-year-old female patient.
• Monitored nutritional status and skin symptoms post-surgery.
• Documented outcomes 13 years post-operation.
• Patient experienced initial complications like severe malnutrition and skin rashes.
• No recurrence of gastric cancer observed after 13 years post-surgery.
• Indicated successful long-term survival after comprehensive treatment strategies.