胃癌是最常见的恶性肿瘤，在我国胃癌死亡率占全部肿瘤死亡率的1／5强。国内文献报道，胃癌患者存活5年以上者仅14．0％，Ⅳ期胃癌5年生存率1．8％[1]。胃癌有广泛转移者预后更差，多在较短时间内死亡。我院收治1例胃癌术后广泛转移生存10年以上患者，结合文献讨论如下。1病历 Gastric cancer is the most common malignancy. The death rate of gastric cancer in China accounts for one-fifth of all cancer deaths. According to domestic reports, only 14.0% of patients with gastric cancer survived for more than 5 years, and 5-year survival rate of patients with stage IV gastric cancer was 1.8% [1]. Patients with extensive metastases from gastric cancer have a worse prognosis and often die within a short period of time. In our hospital, 1 patient with extensive metastasis and survival of gastric cancer after more than 10 years was treated. The literature is discussed as follows. 1 medical record