Abstract
Lung cancer is prone to metastasize to other organs in an early stage due to its anatomical characteristics. However, metastasis to the stomach is uncommon, and patients in whow metastatic lesions in the stomach are detected and excised while they are alive are very rare. We encountered a patient with lung cancer who underwent an excision of metastatic lesions in the stomach. A 70-year-old man who had undergone a right upper lobectomy for G-CSF producting large cell of the lung 2 months earlier was admitted to the hospital because of fever and systemic malaise. An upper gastrointestinal series and a gastroscopic examination showed a Borrmann I-like lesion on the greater curve of the stomach. Gastroscopic biopsy specimen of the mass showed large cell carcinoma. Because the lesion was judged to be resectable by an abdominal CT, the patient underwent a total gastrectomy. Pathological examination of the excised material revealed that the lesion was large cell carcinoma with the depth of se without metastatic lesions in lymph nodes. The patient received 3 courses of adjuvant chemotherapy with decetaxel and CDDP after the operation. The patient has been in good health, as of 28 months after the operation without any evidence of recurrence.
