A case of resected metachronous metastasis to the liver from neuroendocrine carcinoma of the stomach

DepartmentsofSurgery 1) ,Gastroenterology 2) andPathology 3) ,HirakaGeneralHospital Gastricendocrinetumorsarerare,accountingfor0.1-0.6%ofallgastricmalignancies.Brainmetastasesfromgastriccancerarealsorare,withareportedfrequencyofaround0.5%.Therehaveonlybeen casereportsofsporadicbrainmetastasesfromgastriccancer. Apatientwhounderwentsurgeryforapoorlydifferentiatedcancerofthestomachwasdiagnosedas havinggastricneuroendocrinecanceraftersurgery.Thepatientcouldnottoleratetheadjuvanttherapy for gastric cancer. Two years after the operation the tumor marker pro-gastrin-releasing peptide (ProGRP)increasedgradually,andrecurrencewassuspected,butnometastaticlesioncouldbeidentified. Three years after the operation, a computed tomography (CT) scan of the lower part of the neck was scheduled,andunexpectedlyfindabrainmetastasis,whichresultedinthediagnosisandtreatmentofan asymptomatic,sporadicbrainmetastasis.Thiscaseisreportedwithparticularconsiderationoftheperiod untilrecurrence.

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術後無症候性の孤立性脳転移をきたした胃神経内分泌癌の1例

Zuguchi

Kawaharada

Kubota

et al. 2020

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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A case of resected metachronous metastasis to the liver from neuroendocrine carcinoma of the stomach

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術後無症候性の孤立性脳転移をきたした胃神経内分泌癌の1例

術後無症候性の孤立性脳転移をきたした胃神経内分泌癌の1例

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