A case of metachronous brain metastases from gastric cancer with no recurrence

Masatoshi Kubo, Kazuhiko Shien, Yusuke Konishi, Naohisa Waki, Makio Hayama, Katsuya Miyatani, Tetsunobu Udaka, Minoru Mizuta, Kazutoyo Shirakawa

Research output: Contribution to journalArticle

Abstract

A 75-year-old man with acute myeloid leukemia brought to complete remission by systemic chemotherapy was diagnosed by gastrointestinal endoscopy with advanced gastric cancer of the upper stomach during examination for severe anemia. He underwent total gastrectomy with D2 lymphadenectomy. One year and 5 months later, he underwent magnetic resonance imaging (MRI) of the brain due to changes in personality and vomiting. MRI showed three cerebral metastases, but computed tomography (CT) of the chest and abdomen and ultrasound imaging of the abdomen found no other metastasis. Tumor markers were within normal limits. The brain tumor was biopsied because acute myeloid leukemia recurrence could not be ruled out, and histopathological examination showed moderately differentiated adenocarcinoma consistent with gastric cancer, yielding a definitive diagnosis of brain metastases from gastric cancer. He underwent cyberknife radiosurgery to lessen clinical symptoms and was discharged. Although a second cyberknife radiosurgery was required for two brain metastases 5 months after initial radiosurgery, he is doing well without evidence of metastases to the brain, chest, or abdomen, one year after the diagnosis of brain metastasis.

Original languageEnglish
Pages (from-to)1921-1926
Number of pages6
JournalJapanese Journal of Gastroenterological Surgery
Volume41
Issue number11
DOIs
Publication statusPublished - Nov 2008

Keywords

  • Brain metastasis
  • Gastric cancer
  • Stereotactic radiosurgery

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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    Kubo, M., Shien, K., Konishi, Y., Waki, N., Hayama, M., Miyatani, K., Udaka, T., Mizuta, M., & Shirakawa, K. (2008). A case of metachronous brain metastases from gastric cancer with no recurrence. Japanese Journal of Gastroenterological Surgery, 41(11), 1921-1926. https://doi.org/10.5833/jjgs.41.1921