The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
ISSN-L : 0386-9776
A CASE OF PERITONEAL LYMPH NODE METASTASIS OF LUNG CANCER WHICH WAS FOUND BY GASTRECTOMY FOR EARLY GASTRIC CANCER
Keiji AKEHIRAYasushi NAKANEYasuteru YOSHINAGAShigeo OKAMURASatoshi KASAMATSUTsunehide BOKUTokio OOKUSANobuo HIROZANEYoshiaki INADAKoshiro HIOKIMasakatsu YAMAMOTOTsutomu OOSAKO
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1990 Volume 51 Issue 3 Pages 498-502

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Abstract

We report a case of peritoneal lymph node metastases from lung cancer which were found by gastrectomy for gastric cancer, together with a review of the literature.
A 62-year-old man who underwent left lower lobectomy of lung for left lung cancer (S8) 1.5 years ago visited with epigastric pain. Alimentary examination and gastric endoscopy biopsy revealed a gastric cancer. In operation a 3.0×2.4cm lesion in IIc was found on the lesser curvature-side in resion A.
Histologically it was poorly defferentiated adenocarcinoma partially coexisting with Signet-ring cells with depth of m. Almost all regional lymphnodes excised contained metastatic lesions which were highly defferentiated adenocarcinoma unlike the gastric cancer cells. On the other hand, histologic type of the lung cancer was highly differentiated adenocarcinoma, and CT, echography, and Ga scintigraphy revealed no circuratory metastasis, hence in this case, lymph metastases from lung cancer ot peritoneal lymph nodes might occur.

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