Abstract
The patient was a 71-year-old woman undergone total gastrectomy and splenectomy with D2 dissection for gastric cancer, of which histological diagnosis was signet ring cell carcinoma, pT4a (SE), pN0, P0, CYX, M0, and Stage IIB. No postoperative adjuvant chemotherapy was done. Barium enema study performed 4 years and 2 months after the operation revealed a whole-circumferential narrowing of the descending colon. Histological biopsy did not give any diagnosis, but colonic stenosis caused by peritoneal dissemination from the gastric cancer or type 4 primary colonic cancer was the most likely diagnosis. The patient was thus operated on. Histopathology showed signet ring cell carcinoma. Hematogenic colonic metastasis of gastric cancer was finally diagnosed. The patient has been recurrence free as of six years after the second operation.
This case has suggested a possibility that the patient with solitary hematogenic colonic metastasis of gastric cancer can survive for a long time by surgical resection.
