Brain-Only Metastasis and 10-Year Survival after Curative Gastric Cancer Resection: A Case Report

Abstract 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 yea...

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Bibliographic Details
Published in:Case reports in oncology 2023-01, Vol.16 (1), p.210-215
Main Authors: Lee, Woo Yong, Yoon, Byung Woo
Format: Article
Language:English
Subjects:
Brain cancer
brain-blood barrier
brain-only metastasis
Case Report
Case reports
Chemotherapy
Cytokeratin
Gastric cancer
Gastrointestinal surgery
Headaches
Lymphatic system
Medical prognosis
Metastasis
Radiation therapy
Radiosurgery
Remission (Medicine)
Stains & staining
Thyroid gland
Tomography
Tumors
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Summary:Abstract 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.
ISSN:1662-6575
1662-6575
DOI:10.1159/000530109