title: Endobronchial metastasis from adenocarcinoma of gastric cardia 7 years after potentially curable resection.
abstract: Endobronchial metastasis (EBM) is a rare form of metastasis from extrapulmonary malignant tumors, although there are few reports of EBM from gastric cancer specifically. We report the case of a 51-year-old woman who had undergone gastrectomy for advanced gastric cancer seven years previously but was diagnosed with a solitary lung tumor by follow-up computed tomography. On diagnosis of primary lung cancer, she underwent pulmonary lobectomy, but immunohistochemical examination confirmed the resected tumor to be an EBM from the gastric cancer. Six months later, she was diagnosed with peritoneal metastases and underwent chemotherapy with gastric cancer regimen. She is still alive at 33 mo after the lobectomy. Generally, the prognosis for EBM is poor although multidisciplinary treatment can lead to long-term survival. Precise diagnosis on the basis of detailed pathological and immunohistochemical evaluation can contribute to deciding the most effective treatment and improving prognosis.
authors.affiliation: Takaaki Hanyu, Tatsuo Kanda, Atsushi Matsuki, Kazuhito Yajima, Shin-ichi Kosugi, Katsuyoshi Hatakeyama, Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Asahimachi-dori 1-757, Niigata 951-8510, Japan.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Hanyu
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Kanda
authors.forename: Atsushi
authors.initials: A
authors.lastname: Matsuki
authors.forename: Go
authors.initials: G
authors.lastname: Hasegawa
authors.forename: Kazuhito
authors.initials: K
authors.lastname: Yajima
authors.forename: Masanori
authors.initials: M
authors.lastname: Tsuchida
authors.forename: Shin-Ichi
authors.initials: S
authors.lastname: Kosugi
authors.forename: Makoto
authors.initials: M
authors.lastname: Naito
authors.forename: Katsuyoshi
authors.initials: K
authors.lastname: Hatakeyama