[A Case of Laparoscopic Surgery for Preoperatively Diagnosed Gastric Metastasis of Lung Cancer].

Abstract

The patient was a 66-year-old male who had undergone an operation for lung cancer and solitary brain metastases. Follow- up PET-CT after 1 year detected FDG accumulation in the stomach. We performed esophagogastroscopy and found an approximately 20 mm-sized Type 2 tumor on the greater curvature of the upper stomach. A pathological diagnosis of lung adenocarcinoma metastasis in the stomach was made. Laparoscopic surgery was performed on the metastatic lesion to prevent bleeding and perforation, and resection was achieved with minimal invasion. The current development of chemotherapy, including immunotherapy, has contributed to the improved prognosis of cancer patients, including those with lung metastasis in the stomach. Considering these backgrounds, preventive surgical resection under laparoscopy may be an effective approach for improving prognosis and preventing acute life-threatening adverse events. We report this case along with a literature review.

• Authors: Shotaro Mochizuki, Leo Yamada, Koji Kase, Misato Ito, Hiroshi Nakano, Naoto Yamauchi, Takuro Matsumoto, Akinao Kaneta, Yasuyuki Kanke, Takahiro Nakajima, Hiroyuki Hanayama, Yohei Watanabe, Hisashi Onozawa, Suguru Hayase, Hirokazu Okayama, Shotaro Fujita, Wataru Sakamoto, Motonobu Saito, Tomoyuki Momma, Zenichiro Saze, Kousaku Mimura, Shinji Ohki, Koji Kono
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 48 Issue 8 Pg. 1057-1060 (Aug 2021) ISSN: 0385-0684 [Print] Japan
• PMID: 34404076 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Aged
• Gastrectomy
• Humans
• Laparoscopy
• Lung Neoplasms (drug therapy, surgery)
• Male
• Positron Emission Tomography Computed Tomography
• Stomach Neoplasms (drug therapy, surgery)