Abstract
A 55-year-old man was admitted to our department because of bilateral solitary pulmonary nodules. There were previous histories of undergoing total gastrectomy for gastric cancer 7 years before admission, in 2004, upper lobe segmentectomy and lower lobe wedge resection for left pulmonary metastases from gastric cancer in 2007, and the resection of right adrenal gland metastasis in 2008. The patient had been followed after one-year chemotherapy with oral TS-1 until these bilateral solitary pulmonary nodules developed in the right (S5) and in the left lung (S9) in 2010. The chemotherapy was resumed and the bilateral solitary pulmonary nodules had been observed for further one year. No apparent new metastatic nodules developed during the observation, though both nodules increased in size. Thus, we performed sequential wedge resections for these pulmonary nodules, and diagnosed as metastases from gastric cancer. No further evidence of recurrence or metastatic disease was found at his latest follow-up examinations.
