Abstract
Symptomatic gastric metastasis from carcinoma of the lung is extremely rare, so we report a case of metastatic gastric cancer. A 64-year-old man was admitted to the First Department of Internal Medicine, Nihon University School of Medicine, in July 1992, in order to treated for primary small-cell lung cancer and was given chemotherapy at our hospital. Afterwards, he complained of hemosputum. A chest roentgenogram showed a small tumorlike shadow in the left upper lung field, and we diagnosed recurrence. The patient was admitted to our hospital and was treated with chemotherapy again. During the therapy, he complained of gastrointestinal symptoms such as nausea. Vomitting and anemia were observed continuously. An upper-gastrointestinal endoscopic examination showed that multiple, elevated submucosal tumors with central depressions were found on the upper gastric body. Biopsy showed a small-cell carcinoma identical with the lung cancer. We concluded that it is necessary to proceed to an upper-gastrointestinal endoscopic examination whenever gastrointestinal symptoms and anemia are observed continuously.
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