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Histologically, viable tumor cells were observed in less than one-third of the primary lesion, and only scar tissue without viable cancer cells was noted in the resected liver specimen. His postoperative course was uneventful, and recurrence has not been detected in the 30months after surgery without adjuvant chemotherapy. The present case report describes a successful strategy for advanced GC with pyloric stenosis and liver metastasis. The present case report describes a successful strategy for advanced GC with pyloric stenosis and liv