Abstract
We present a case report of a 63-year-old male who underwent lung resections for metastases originating from gastric cancer 18-year after total gastrectomy with lymphadenectomy. The gastrectomy was performed in 1994; histological examination of the original tumor revealed stage II poorly differentiated adenocarcinoma [pT2 (MP), N0, M0]. Chest X-ray and computed tomography in 2012 showed a well-defined tumor, 9 mm in size, at the left S3 of the lung. Thoracoscopic partial resection was performed. The tumor was diagnosed as poorly differentiated carcinoma, most likely metastatic gastric adenocarcinoma. Although rarely performed, resection of pulmonary metastases from carcinoma of the stomach was done to improve the patient’s chances for long-term survival.
Highlights
Gastric cancers are associated with a higher incidence of liver metastasis, which has a low radical resectability rate
We describe a patient with proven pulmonary metastasis of gastric carcinoma 18year-after total gastrectomy
The tumor was diagnosed as poorly differentiated carcinoma, most likely metastatic adenocarcinoma, accorded with the previous gastric cancer from the pathological report
Summary
Gastric cancers are associated with a higher incidence of liver metastasis, which has a low radical resectability rate. Even without disseminated or multiple liver metastasis, pulmonary metastasis typically has carcinomatous lymphangitis or carcinomatous pleuritis. We describe a patient with proven pulmonary metastasis of gastric carcinoma 18year-after total gastrectomy
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