A Long-term Survivor after Early Gastric Cancer with Two Times of Lung Metastases which were Successfully Resected.

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This paper presents a long-term surviving patient after early gastric cancer with two times of nodular type lung metastases which were successfully treated by a distal gastrectomy and two pulmonary resections. A 68-year-old man underwent a distal gastrectomy for early gastric cancer. As serum levels of tumor markers increased and a chest CT scan revealed a mass lesion in the right upper lobe of lung, a pulmonary lobectomy was performed 8 years after the first operation. Nine years after gastrectomy and 1 year after the second operation, a chest CT scan revealed two mass lesions in the right lung (S4, S10). He underwent video-assisted partial pulmonary resections. All specimens of the lung tumors showed the same well-differentiated adenocarcinoma as that of gastric cancer. The patient is still alive 15 years after the first operation. It is said that the prognosis is poor in patients with recurrent pulmonary metastasis after operation for gastric cancer. Whenever metastatic lung cancers developed in multiple lesions, or occur many times, we can expect a long survival after complete resection of the metastatic lesions. Surgical treatment must be considered for nodular type of metastatic lung cancer after operation for gastric cancer.
日本臨床外科学会の論文