Distant Metastases as Primary Presentation of Gastric Cancer: Report of 3 Cases

T Puri, G Gunabushanam, DN Sharma, PK Julka

Hong Kong J Radiol 2005;8:59-62

It is uncommon for gastric cancer to present clinically with symptoms attributable to distant metastases. This report describes 3 cases of carcinoma of the greater curvature and the posterior wall of the stomach that presented as metastases to the skin, bone, and lungs. In patients with adenocarcinoma of unknown origin, a gastric primary tumour, especially one along the greater curvature and posterior wall, must be considered. A silent primary tumour in the stomach must always be looked for whenever a clinician encounters a metastatic adenocarcinoma.