Severity: Warning
Message: file_get_contents(https://...@pubfacts.com&api_key=b8daa3ad693db53b1410957c26c9a51b4908&a=1): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
Filename: helpers/my_audit_helper.php
Line Number: 176
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 176
Function: file_get_contents
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 250
Function: simplexml_load_file_from_url
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3122
Function: getPubMedXML
File: /var/www/html/application/controllers/Detail.php
Line: 575
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 489
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
Although systemic chemotherapy has been recognized as a standard treatment for gastric cancer with synchronous hepatic metastasis, the survival benefit of the therapy is still unsatisfactory. On the other hand, the local effect of intra-hepatic arterial chemotherapy (HAIC) is very high, and HAIC combined with systemic chemotherapy and surgery will be an effective therapy for selected patients. Here, we report a 39-year-old female case with advanced gastric cancer and synchronous liver metastasis. She has been treated with systemic chemotherapy, HAIC, and two operations. She has survived for 33 months now. The HAIC therapy will be a promising therapy in combination with systemic chemotherapy and/or surgery for gastric cancer with synchoromous liver metastasis.
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