A Long Survival Case of Metachronous Cerebellar Metastasis that was caused by Gastric Cancer

Taketo Matsubara, Yasuo Yoshizawa, Shoji Sasaya, Kazuma Sakuraba, Atsushi Shirahata, Tetsuhiro Gotoh, Koji Maezawa, Mitsuo Saito, Hiroshi Nemoto and Yutaka Sanada

Department of Surgery, Showa University Fujigaoka Hospital

We report a long-surviving case of metachronous cerebellar metastasis caused by gastric cancer. A 72-year old man who underwent total gastrectomy with D2 lymphoadenectomy and splenectomy for advanced gastric cancer in August 2003 had final findings of MU type 3, 98×90 mm, tub1, T2 (SS) N0 H0 P0 CY0 M0 stage IB Resection A, based on general rules specified in Japanese Classification of Gastric Carcinoma published by the Gastric Cancer Association, 2nd English Edition. Eight months after surgery, he was readmitted due to vocal articulation difficulties, finding it "hard to talk. I can't say words fluently." Cranial magnetic resonance imaging (MRI) showed a cerebellar tumor in the right hemisphere, necessitating resection and yielding a definitive diagnosis of metastatic adenocarcinoma metastasis from gastric cancer. Adjuvant chemotherapy by TS-1 was done after surgery. In the 3 year 9 months since diagnosis of the brain metastasis, the man remains well without recurrence. Gastric cancer rarely metastasizes to the brain and generally has a dismal prognosis.

Key words
brain metastasis, gastric cancer, metachronous

Reprint requests
Taketo Matsubara Department of Surgery, Showa University Fujigaoka Hospital
1-30 Fujigaoka, Aoba-ku, Yokohama, 227-8501 JAPAN

Accepted
June 27, 2007

To read the PDF file you will need Abobe Reader installed on your computer.