A case featuring very late and unusual metastasis of gastric cancer is pres
ented. A 49-year-old woman presented with metastatic disease in the seventh
cervical vertebra 9 years after a total gastrectomy for gastric carcinoma.
The resected primary tumor was a Borrman type III, poorly differentiated a
denocarcinoma which had invaded the subserosal layer of the stomach and had
generated lymph node metastases. The patient was treated for the metastati
c tumor with sequential administration of cisplatin, calcium leucovorin and
5-fluorouracil and subsequent irradiation. Remission was achieved and she
survived for a further 13 months without major symptoms.