Abstract
Total gastrectomy was performed on a 79-year-old man for early gastric cancer in October 2005. Small cell carcinoma of the stomach was diagnosed based on findings of neuroendocrine characteristics on immunopathological and histopathological examination. Abdominal CT showed a tumor 4 cm diameter in S4 of the liver six months later. Angiographic examination showed a hypervascular tumor in S4 of the liver, from small cell carcinoma of the stomach was diagnosed. No other recurrences were seen, so partial resection of S4 of the liver was performed in May 2006. Metastasis to the liver from small cell carcinoma of the stomach was diagnosed by immunopathological and histopathological examination. Now he is alive and there has been no other recurrence for 6.6 years from the first operation.