A Case of Brain Metastasis Developing 11 Years after Resection for Gastric Remnant Cancer with Para-aortic Lymph-node Metastasis

Yasuo Hayashi, Tohru Kamata, Hironori Hayashi, Go Minatoya, Yoshio Michiwa, Ichiro Onishi, Toshiya Takeda and Masahiro Kanno

Department of Surgery and Gastroenterology, Keiju Medical Center

A 71-year-old man underwent lower esophagectomy, remnant gastrectomy, pancreatosplenectomy via left thracotomy and laparotomy in 1990 due to remnant gastric cancer. Postoperative diagnosis was adenocarcinoma of the remnant stomach, stage IV, due to paraaortic lymphnode metastasis. The resection was relative noncurative. He was admitted due to weakness of the right hand 11 years after resection for gastric remnant cancer. Brain computed tomography (CT) and magnetic resonance imaging (MRI) showed a solid mass in the left parietal lobe, diagnosed as a brain tumor necessitating tumor resection. Histopatology confirmed its gastric remnant cancer origin.

Key words
gastric remnant cancer, paraaortic lymphnode metastasis, brain metastasis

Reprint requests
Yasuo Hayashi Department of Surgery and Gastroenterology, Keiju Medical Center
94 Tomioka-machi, Nanao-city, 926-8605 JAPAN

Accepted
February 27, 2002

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