Two Cases Survived For Long-Term After Resection of Colon Metastasis of Gastric Cancer

Songtae Kim¹⁾, Shigeyuki Tamura¹⁾, Jin Matsuyama³⁾, Kentarou Kishi¹⁾, Keisuke Miyauchi³⁾, Yousuke Seki³⁾, Kouji Yoshida²⁾, Toshisada Ukei³⁾, Yoshio Uemura³⁾ and Tadashi Kaneko³⁾

Department of Surgery and Clinical Oncology, Graduate School of Medicine, Osaka University¹⁾, Institute of Medical Science, Tokyo University²⁾, Kinki Central Hospital, Mutual Aid Association of Public School Teachers³⁾

We treated two cases survived for long-term after resection of colon metastasis of gastric cancer. Two cases were diagnosed preoperatively as primary colon cancer, but they were colon metastasis of gastric cancer. Case 1 was a 70-year-old man and Case 2 a 75-year-old man. Both had recurrence 6 years after distal gastrectomy. All cases showed histology similar to the previous gastric cancers, and were diagnosed with recurrent gastric cancer after surgery. Case 1 underwent reresection 3 years and 8 months ago. And Case 2 2 years and 2 months ago. Neither has yet experienced recurrence. These 2 cases were isolated tumors on preoperative diagnosis imaging. Cases 1 and 2 also had single colon metastasis in operative views. Our cases are metastatic colon cancer. And it was thought that most of their origins are gastric cancer. However there was few of complete recover of cancer by means of reresection. Both remain alive, suggesting that some long-term survival may be provided by local resection.

Key words
recurrent gastric cancer, metastatic colon cancer, surgery of local recurrence of gastric cancer

Reprint requests
Kim Songtae 3-38-7 Keyakizaka, Kawanishi, 666-0145 JAPAN

Accepted
May 23, 2001

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