2000 Volume 14 Issue 7 Pages 823-826
A 73-year-old man was performed total gastrectomy (D2) for gastric cancer, which was a poorly differentiated adenocarcinoma (ss, n2 (+), lyl, vl, ow (-), aw (-)). Three years after the operation, two abnormal nodules in S8 area in the right lung were found by chest computed tomography. Right lower lobectomy (ND2b) was performed because primary lung cancer was suspected preoperatively. The one lesion was a poorly differentiated adenocarcinoma which was compatible with metastasis from gastric cancer, and the other was bronchiolo-alveolar carcinoma which was compatible with primary lung cancer, histologically. When multiple lesions are found in gastric cancer patients, operation method should be selected with some considerations of both primary lung cancer and metastasis like in our case.
