A Case of Gastric Cancer with Rhabdoid Features and Multiple Gastric Wall Metastases

Ryouichi Katsube, Yoshikazu Akura, Takamasa Matsumoto, Nobutaka Murashima and Shin-ya Gomi

Department of Surgery, Kurashiki Seijinbyou Center Hospital

We report a very rare case of gastric cancer with multiple metastases to the gastric wall and review similar case reports. A 54-year-old man, suffering from appetite-loss and weight-loss and diagnosed with gastric cancer, was transported to our hospital due to active bleeding from gastric cancer. Preoperative examination showed direct invasion of the pancreas and spleen and pulmonary metastasis. We conducted total gastrectomy with cholecystectomy, splenectomy and pancreatic body and tail resection to control bleeding and Roux-en-Y reconstruction. The main lesion was located in the gastric fornix and diagnosed pathologically as por1, si, ly2, v1, pm (-), dm (-), n2. Multiple lesions in the anal side apart from the main lesion were diagnosed as the same as the main lesion and having no consecutiveness with the main lesion. The definitive pathological and clinical diagnosis was metastases from gastric cancer. In general, cases of gastric cancer with multiple metastases in the gastric wall have a poor prognosis. Our patient suffered liver metastases a month after surgery and despite chemotherapy, liver and lung metastases grew and killed him 4 months after surgery. Case reports of gastric cancer with multiple metastases to the gastric wall are rare and there is usually only one metastatic lesion.

Key words
gastric cancer, multiple metastases to gastric wall, rhabdoid cell

Reprint requests
Ryouichi Katsube Department of Surgery, Kurashiki Seijinbyou Center Hospital
250 Bakurocho, Kurashiki, 710-8522 JAPAN

Accepted
June 27, 2007

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