title: Two cases of recurrent pulmonary metastasis resected after operation for gastric cancer.
abstract: It is said that the prognosis is poor in cases with recurrent pulmonary metastasis after operation for gastric cancer. In this article, 2 cases with nodular type of pulmonary metastasis resected after operation for gastric cancer and surviving well are reported by the authors. Case 1: 57-year-old female. The patient underwent a total gastrectomy for the 3'type of cardiac cancer. As the serum levels of tumor markers increased and the chest X-ray examination revealed a mass lesion in the right lung (S10), the operation for the lesion under the diagnosis of metastatic lung cancer was performed 1 year and 2 months after gastrectomy. The patient died of pulmonal and pleural metastasis 4 years and 7 months after the first operation. Case 2: 65-year-old male. The patient underwent a subtotal gastrectomy for the 5' type of gastric cancer. Chest X-ray examination for follow-up study revealed a mass lesion in the left lung (S5). The patient underwent a left pulmonary superior lobe resection 2 years and 9 months after gastrectomy. The patient is still alive 6 years after the first operation. Surgical treatment must be actively considered for nodular type of metastatic lung cancer after operation for gastric cancer.
authors.affiliation: First Department of Surgery, Juntendo University, School of Medicine, Tokyo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Urabe
authors.forename: T
authors.initials: T
authors.lastname: Sakakibara
authors.forename: M
authors.initials: M
authors.lastname: Daibo
authors.forename: S
authors.initials: S
authors.lastname: Matsumura
authors.forename: N
authors.initials: N
authors.lastname: Mizobuchi
authors.forename: H
authors.initials: H
authors.lastname: Gonda
authors.forename: N
authors.initials: N
authors.lastname: Sakakibara
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D000368:Aged; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D011379:Prognosis; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*