Lee Woo Yong, Yoon Byung Woo
Department of Surgery, Inje University Haeundae Paik Hospital, Busan, Republic of Korea.
Department of Internal Medicine, Chung-Ang University Gwangmyung Hospital, Gwang-Myung, Republic of Korea.
Case Rep Oncol. 2023 Apr 11;16(1):204-209. doi: 10.1159/000530109. eCollection 2023 Jan-Dec.
Gastric cancer (GC) usually metastasizes to locoregional lymph nodes, the peritoneum causing ascites, or to the liver and lungs but rarely to the brain. Few cases of brain-only GC metastases have been reported, and the prognosis is very poor. We present a case of brain-only metastasis 2 years after curative GC surgery and chemotherapy, who visited the ER due to a headache. The patient underwent operative tumor resection of the brain with additional chemotherapy and is still alive and disease free 10 years after initial curative treatment. This case shows that brain-only metastasis may have a better prognosis than that of systemic metastasis; thus, aggressive treatment with radiotherapy or surgery with chemotherapy may be needed.
胃癌（GC）通常转移至局部区域淋巴结、导致腹水的腹膜，或肝脏和肺部，但很少转移至脑。仅有少数脑转移的胃癌病例被报道，且预后很差。我们报告一例在胃癌根治性手术和化疗后2年出现仅脑转移的病例，该患者因头痛就诊于急诊室。患者接受了脑部肿瘤切除术并辅以化疗，在初始根治性治疗10年后仍存活且无疾病复发。该病例表明，仅脑转移可能比全身转移预后更好；因此，可能需要积极进行放疗或手术联合化疗。
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