Urabe M, Sakakibara T, Daibo M, Matsumura S, Mizobuchi N, Gonda H, Sakakibara N
First Department of Surgery, Juntendo University, School of Medicine, Tokyo, Japan.
Nihon Geka Hokan. 1996 Jan 1;65(1):22-9.
It is said that the prognosis is poor in cases with recurrent pulmonary metastasis after operation for gastric cancer. In this article, 2 cases with nodular type of pulmonary metastasis resected after operation for gastric cancer and surviving well are reported by the authors. Case 1: 57-year-old female. The patient underwent a total gastrectomy for the 3'type of cardiac cancer. As the serum levels of tumor markers increased and the chest X-ray examination revealed a mass lesion in the right lung (S10), the operation for the lesion under the diagnosis of metastatic lung cancer was performed 1 year and 2 months after gastrectomy. The patient died of pulmonal and pleural metastasis 4 years and 7 months after the first operation. Case 2: 65-year-old male. The patient underwent a subtotal gastrectomy for the 5' type of gastric cancer. Chest X-ray examination for follow-up study revealed a mass lesion in the left lung (S5). The patient underwent a left pulmonary superior lobe resection 2 years and 9 months after gastrectomy. The patient is still alive 6 years after the first operation. Surgical treatment must be actively considered for nodular type of metastatic lung cancer after operation for gastric cancer.
据说，胃癌术后出现肺转移复发的病例预后较差。本文作者报道了2例胃癌术后肺转移结节型患者，术后切除并存活良好。病例1：57岁女性。患者因贲门癌3型接受了全胃切除术。由于肿瘤标志物血清水平升高，胸部X线检查显示右肺（S10）有肿块病变，在胃切除术后1年零2个月对该病变进行了转移性肺癌诊断下的手术。患者在首次手术后4年零7个月死于肺和胸膜转移。病例2：65岁男性。患者因5型胃癌接受了胃次全切除术。随访胸部X线检查显示左肺（S5）有肿块病变。患者在胃切除术后2年零9个月接受了左肺上叶切除术。患者在首次手术后6年仍然存活。对于胃癌术后肺转移结节型，必须积极考虑手术治疗。
