{
  "abstract": "A 77-year-old woman presented with anorexia and weight loss. Chest computed tomography revealed a pulmonary mass and diffuse ground-glass opacity. She had undergone gastrectomy for gastric signet-ring cell carcinoma 18 years previously. A biopsy revealed poorly differentiated adenocarcinoma with signet ring cells. Treatment was initiated after the diagnosis of primary lung cancer. A temporary response was achieved; however, the patient died eight months later. Subsequent immunohistochemical findings were similar to the pathological findings obtained 18 years earlier, thus indicating gastric cancer recurrence. This case highlights the possibility of a late recurrence after surgery for gastric cancer.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 11,
  "authors": [
    {
      "name": "Daichi Setoguchi"
    },
    {
      "name": "Shinnosuke Takemoto"
    },
    {
      "name": "Kouki Yamashita"
    },
    {
      "name": "Akisato Itagaki"
    },
    {
      "name": "Iwanaga Shintaro"
    },
    {
      "name": "Akagi Kazumasa"
    },
    {
      "name": "Shougo Yamamoto"
    },
    {
      "name": "Dotsu Yosuke"
    },
    {
      "name": "Hirokazu Taniguchi"
    },
    {
      "name": "Yuji Ito"
    },
    {
      "name": "Hiroshi Mukae"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/d316wjkn6pyn0.bib",
  "cited_by": 0,
  "doi": "10.2169/internalmedicine.7978-26",
  "fulltext_url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7978-26/_article",
  "id": "d316wjkn6pyn0",
  "issns": [
    "1349-7235",
    "0918-2918"
  ],
  "landing_url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7978-26/_article",
  "language": null,
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "jstage-journal",
      "medicine/general"
    ],
    [
      "openalex",
      "2740|Metastasis and carcinoma case studies"
    ]
  ],
  "openalex": "W7204851956",
  "pdf_url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7978-26/_pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/d316wjkn6pyn0.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:31Z",
      "native_id": "10.2169/internalmedicine.7978-26",
      "source": "jstage",
      "url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7978-26/_article"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2740|Metastasis and carcinoma case studies",
      "subfield": "general"
    }
  ],
  "title": "Late Recurrence of Gastric Signet-Ring Cell Carcinoma Presenting as Pulmonary Metastasis 18 Years after Gastrectomy: A Case Report and Literature Review",
  "title_text": "Late Recurrence of Gastric Signet-Ring Cell Carcinoma Presenting as Pulmonary Metastasis 18 Years after Gastrectomy: A Case Report and Literature Review",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:31Z",
  "url": "https://research.draconitic.com/paper/d316wjkn6pyn0",
  "venue": "Internal Medicine",
  "versions": []
}