Early gastric cancer manifested as brain metastasis: report of a case.

Abstract:

:A case of early gastric cancer, limited to submucosal layer, which was manifested as cerebral metastasis is presented herein. A 47-year-old man was admitted to Nagaoka Chuo General Hospital with convulsions and a disturbance in consciousness, where a computed tomography (CT) scan revealed a cerebral tumor in the left temporal lobe. The resected tumor was identified as a metastatic adenocarcinoma. Further investigation revealed gastric cancer involving the posterior wall of the cardia. At laparotomy, multiple and small metastases of the liver and a jejunal metastasis were found and a palliative total gastrectomy was performed. The surgical specimen revealed a protruding, poorly differentiated medullary adenocarcinoma, with invasion of the submucosal layer. The patient died 4 months after undergoing the laparotomy. This case report is presented to make clinicians aware of the possibility that early gastric cancers may present as brain metastasis.

journal_name

Surg Today

journal_title

Surgery today

authors

Nomura T,Yoshikawa T,Kato H,Nikkuni K,Sasaki K,Shirai Y,Hatakeyama K

doi

10.1007/BF00941808

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

334-6

issue

4

eissn

0941-1291

issn

1436-2813

journal_volume

27

pub_type

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