Abstract
A 76-year-old man with a gastric abnormality detected in October 2001 had normal tumor markers in blood examination, but soluble IL-2 receptor of 926U/ml. UGI and endoscopy showed a type 2 tumor in the antrum. Malignant lymphoma was counterindicated by biopsy, so total gastrectomy and splenectomy were conducted in December 2001. We diagnosed small cell carcinoma of the stomach by immunopathological and histopathological examination. Postoperative chemotherapy was conducted by CPT-11. Abdominal CT in August 2003 showed a tumor measuring 22mm at S7 of the liver. No other recurrence was seen, so partial resection of S7S8 was conducted in November 2003. Histopathologicaly, we diagnosed metastatic small cell carcinoma from the stomach. Chemotherapy by VP-16 was done because of doubt of metastasis to the lung, and he is alive 3 years after gastrectomy and 1 year and 1 month after hepatectomy.
