A case of abdominal wall metastases detected after 2 years and 5 months from gastric cancer operation

: A 68-year-old woman underwent distal gastrectomy for gastric cancer in February 2003. The Histological type was poorly differentiated adenocarcinoma, and the final finding was T3 (se, INF gamma, ly1, v0), pN1, sH0, sP0, pCY0; fStage IIIA. Two years and 5 months after the operation, a painless tumor was noticed on the upper abdomen. Biopsy specimen showed adenocarcinoma. A CT scan detected abdominal tumors, and there was no other distant metastasis. Fourteen courses of systemic chemotherapy (IRIS) were performed for sixteen months. We detected several abdominal metastases, but no distant metastasis was occurred during IRIS.