Abstract
A 64-year-old man underwent distal gastrectomy for early gastric cancer in 1990, and total gastrectomy for remnant gastric cancer in 1997. The patient noticed a tumor on the upper abdominal wall in 2013, and adenocarcinoma was detected by biopsy in September 2014. Further examination did not reveal any other metastases. The tumor and remnant gastric cancer specimen showed similar patterns on pathological examination. We therefore diagnosed recurrent gastric cancer with metastasis to the abdominal wall. The patient was administered chemotherapy comprising 2 courses of capecitabine plus cisplatin. Tumor size was reduced, and surgery was then performed. Postoperatively, chemoradiotherapy was performed because of positive margins. To date, the patient has remained in good health without any cancer recurrence.
