Pulmonary metastasis from gastric cancer: A case report and review of literature


We present a case report of a 63-year-old male who underwent lung resections for metastases originating from gastric cancer 18-year after total gastrectomy with lymphadenectomy. The gastrectomy was performed in 1994; histological examination of the original tumor revealed stage II poorly differentiated adenocarcinoma [pT2 (MP), N0, M0]. Chest X-ray and computed tomography in 2012 showed a well-defined tumor, 9 mm in size, at the left S3 of the lung. Thoracoscopic partial resection was performed. The tumor was diagnosed as poorly differentiated carcinoma, most likely metastatic gastric adenocarcinoma. Although rarely performed, resection of pulmonary metastases from carcinoma of the stomach was done to improve the patient’s chances for long-term survival.

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Kuwahara, M. , Matsumoto, M. , Naritomi, K. , Mano, M. , Hamatake, D. , Inutsuka, K. , Shirakusa, T. and Iwasaki, A. (2013) Pulmonary metastasis from gastric cancer: A case report and review of literature. Advances in Lung Cancer, 2, 70-72. doi: 10.4236/alc.2013.23009.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Ishii, T., Ikegami, N., Hosoda, Y., Koide, O. and Kaneko, M. (1981) The biological behavior of gastric cancer. The Journal of Pathology, 134, 97-115. doi:10.1002/path.1711340202
[2] Lee, H., Chen, F., Lo, C., Wang, C., Lo, W. and Luh, S. (2010) Metastasis of gastric carcinoma to the thyroid and lung: A case report and review of literature. Journal of Zhejiang University—Science B, 11, 542-546. doi:10.1631/jzus.B0900378
[3] Su, Y., Hsu, Y. and Chai, C. (2006) Role of TTF-1, CK20, and CK7 immunohistochemistry for diagnosis of primary and secondary lung adenocarcinoma. Kaohsiung Journal of Medical Sciences, 22, 14-19. doi:10.1016/S1607-551X(09)70214-1
[4] Kanemitsu, Y., Kondo, H., Katai, H., et al. (1998) Surgical resection of pulmonary metastases from gastric cancer. Journal of Surgical Oncology, 69, 147-159. doi:10.1002/(SICI)1096-9098(199811)69:3<147::AID-JSO5>3.0.CO;2-H
[5] Nakahashi, C., Kinoshita, T., Konishi, M., et al. (2004) Long-term survival achieved by repeated resection of metachronous pulmonary and adrenal metastases of afetoprotein-producing gastric cancer: Report of a case. Surgery Today, 34, 784-787. doi:10.1007/s00595-004-2796-3
[6] Nakayama, H., Ichinose, S., Kato, Y., Ito, H., Masui, K. and Kameda, Y. (2008) Long-term survival after a surgical resection of pulmonary metastases from gastric cancer: Report of a case. Surgery Today, 38, 150-153. doi:10.1007/s00595-007-3577-6
[7] Tanai, C., Hamaguchi, T., Watanabe, S., Katai, H., Tochigi, N. and Shimada, Y. (2010) A case of long-term survival after surgical resection of solitary pulmonary metastasis from gastric cancer. Japanese Journal of Clinical Oncology, 40, 85-89. doi:10.1093/jjco/hyp098
[8] Hanyu, T., Kanda, T., Matsuki, A., et al. (2010) Endobronchial metastasis from adenocarcinoma of gastric cardia 7 years after potentially curable resection. World Journal of Gastrointestinal Surgery, 2, 270-274. doi:10.4240/wjgs.v2.i8.270

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