1997 Volume 58 Issue 4 Pages 815-819
The other organ metastasis of gastric cancer is rarely capable of being resected and even if it is possible, the prognosis is extremely poor. We experenced a long-term surviving case of gastric cancer after resection of metachronous metastases to the adrenal gland and liver. A 52-year-old man was seen at the hospital because of an epigastric pain in June 1988. Upper GI series and GIF revealed a gastric cancer with a serum CEA level of 162.3ng/ml. A total gastrectomy, excision of the spleen, and D2 lymph node dissection were carried out. The postoperative course was uneventful. The patient was discharged from the hospital, but the serum CEA gradually increased. Two years and one month later, metastasis a recurrence to the sutural part and to the left adrenal were resected. Two years and eight months later, another operation for a liver metastasis was performed. There has been no clear sign of recurrence, as of 7 years and 7 months after the first operation.
