# Endobronchial Metastasis with Extension to the Left Atrium from Adenocarcinoma of Gastric 3 Years after Total Gastrectomy

## TL;DR

A man who had stomach cancer surgery three years ago developed rare lung and heart metastases, which responded well to treatment.

## Contribution

This report highlights a rare case of endobronchial metastasis extending to the heart from gastric cancer.

## Key findings

- Endobronchial metastasis with left atrial extension occurred three years after total gastrectomy.
- The patient showed a positive response to chemoradiotherapy and maintained good quality of life.

## Abstract

Endobronchial metastases extending to the heart from gastric cancer are rare. This case report describes a 69-year-old man who presented to a tertiary care hospital in Shahrekord, Iran, in 2022 with a history of cough and haemoptysis. He had previously undergone total gastrectomy and adjuvant chemotherapy for gastric adenocarcinoma three years earlier. Imaging and pathological evaluation confirmed endobronchial metastasis with extension to the left atrium. The patient responded well to chemoradiotherapy, maintaining a good quality of life.