Epidermal growth factor receptor antibody plus recombinant human endostatin in treatment of hepatic metastases after remnant gastric cancer resection

We report a 55-year-old male who developed advanced hepatic metastasis and peritoneal carcinomatosis after resection of remnant gastric cancer resection 3 mo ago. The patient only received epidermal growth factor （EGF） receptor antibody （Cetuximab） plus recombinant human endostatin （Endostar）. Anti-tumor activity was assessed by ^18F-fluorodeoxyglucose （^18F-FDG） positron emission tomography/computer tomography （PET/CT） at baseline and then every 4 wk. The case illustrates that ^18FDG-PET/CT could make an early prediction of the response to Cetuximab plus Endostar in such clinical situations. ^18FDG-PET/CT is a useful molecular imaging modality to evaluate the biological response advanced hepatic metastasis and peritoneal carcinomatosis to Cetuximab plus Endostar in patients after remnant gastric cancer resection.