A case of long-term survival without recurrence following resection of hepatic and pulmonary metastasis from gastric cancer

Abstract

We report a case of long-term survival without recurrence following resection of hepatic and pulmonary metastases from gastric cancer. A 62-year-old man had a total gastrectomy for gastric cancer with lymph node metastases. 15 months later, he had a partial hepatectomy for a solitary 6.0 × 5.0 cm hepatic metastasis in S4. 26 months after the hepatectomy, he had a partial pulmonary resection for a solitary 2.3 × 2.0 cm lung metastasis in the right lung (S4). He has remained tumor-free for 90 months after the pulmonary resection. It is likely that patients with a solitary and metachronous hepatic metastasis are good candidates for surgical resection. Furthermore, a long survival after pulmonary resection of a solitary, nodular type of lung metastasis after hepatic resection for hepatic metastasis of gastric cancer can be expected.