We present a case of clear cell carcinoma arisen in the gastric serosa after surgery for carcinoma of uterine body, together with some bibliographical comments.
The patient was a 50-year-old woman who underwent total hysterectomy+bilateral adnexectomies for carcinoma of uterine body at the department of gynecology in our hospital in October 2002, and then was followed after postoperative chemotherapy. Abdominal CT scan conducted in May 2003 visualized a tumor shadow at the surroundings of the hilum of spleen. Thereafter the tumor became enlarged and the patient was referred to our department of surgery. As a result of close exploration, the tumor was diagnosed as primary submucosal tumor of the stomach, and a laparoscopic operation was carried out. The histopathological diagnosis was clear cell carcinoma arisen in the gastric serosa. Further 4 months later a recurrent lesion was confirmed near the primary site, and laparoscopic removal of the recurrent tumor was carried out in May 2004. Histopathological diagnosis was also clear cell carcinoma. There has been no appreciable recurrence as of 6 months after the operation. Further strict follow-up of her clinical course would be mandatory because of scarce accumulation of clinical cases of the disease.