A70-year-oldmanwasadmittedtoourhospitalbecauseofpalpitations,staggeringgait,andmelena. Endoscopyshowedmultiplegastriccancersandasubmucosaltumor.Totalgastrectomy,cholecystectomy, and splenectomy were performed. The pathological diagnoses for three lesions were gastric carcinoma with lymphoid stroma. The submucosal tumor with similar pathological findings to the primary region wasdiagnosedasintramuralmetastasis.Thepatientreceivedpostoperativeadjuvantchemotherapyand has survived 13 months without recurrence. Intramural metastasis of gastric cancer, especially gastric carcinomawithlymphoidstroma,israre.