title: [A Case of Surgical Resection of Isolated Pulmonary Metastasis from Gastric Cancer].
abstract: We report a rare case of surgical resection for pulmonary metastasis from gastric cancer. A 71-year-old man underwent total gastrectomy for gastric cancer in October 2012. After the operation, he received S-1 chemotherapy for 1 year. In January 2014, computed tomography of the chest showed a nodule shadow with a cavity at S3 in the right lung. Because it showed a tendency to gradually enlarge, we performed an operation in September 2014. The nodule was diagnosed as metastatic adenocarcinoma from gastric cancer on pathology. The patient is being treated with S-1 chemotherapy during follow-up. The pulmonary metastases of gastric cancer often develop along with carcinomatous lymphangiosis or carcinomatous pleurisy, and isolated pulmonary metastasis is rare. A consensus has not been reached about the usefulness of surgical resection, and the accumulation of further cases is required.
authors.affiliation: Dept. of Surgery, Tokyo Metropolitan Ohtsuka Hospital.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Murata
authors.forename: Haruya
authors.initials: H
authors.lastname: Koshiishi
authors.forename: Ken
authors.initials: K
authors.lastname: Imaizumi
authors.forename: Keisuke
authors.initials: K
authors.lastname: Okuno
authors.forename: Takuya
authors.initials: T
authors.lastname: Nakata
authors.forename: Takayuki
authors.initials: T
authors.lastname: Hirano
authors.forename: Michiyo
authors.initials: M
authors.lastname: Tokura
authors.forename: Takatoshi
authors.initials: T
authors.lastname: Matsuyama
authors.forename: Mayumi
authors.initials: M
authors.lastname: Hoshino
authors.forename: Masaki
authors.initials: M
authors.lastname: Kakimoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Goto
authors.forename: Tetsunori
authors.initials: T
authors.lastname: Yoshimura
mesh_terms: D000230:Adenocarcinoma / Q000188:drug therapy / Q000556:secondary / Q000601:surgery*; D000368:Aged; D000964:Antimetabolites, Antineoplastic / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D004338:Drug Combinations; D005743:Gastrectomy; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy / Q000556:secondary / Q000601:surgery*; D008297:Male; D010094:Oxonic Acid / Q000627:therapeutic use; D011013:Pneumonectomy; D013274:Stomach Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D005641:Tegafur / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
chemical_list: D000964:Antimetabolites, Antineoplastic; D004338:Drug Combinations; C079198:S 1 (combination); D005641:Tegafur; D010094:Oxonic Acid