Abstract:To summarize the diagonsis and the treatment for gastric metastasis from renal cell carcinoma(RCC). Methods:A patient with gastric metastasis from renal cell carcinoma was retrospetively studied.Literautres about gastric metastasis from RCC were also reviewed.Results: the right lumbar abdominal pain was the first complain of the patient. Renal cell carcinomal and Gastrointestina tromal tumor were clinically diagonosed by imaging examination,radical nephrectomy and laparoscopic gastrectomy were performed successfully consequently and the diagnosis of renal cell carcinoma and gastric metastasis from renal cell carcinoma were pathologically confirmed..Conclusions:With the literature reports, although RCC is known for its ubiquitous pattern of metastasis, gastric metastasis from RCC following radical excision of the primary tumor is extremely rare. Gastric metastatic often performed the symptoms of upper abdominal pain with anemia, gastrointestinal bleeding. Prognosis of gastric metastatic renal cell carcinoma is poor.Imaging and endoscopic examination is necessary and may be helpful for the diagnosis,pathological examination is the only way to confirm the diagnosis. Immunotherapy might effectively improve the prognosis, extend the lifetime of the patients, but still needs to be further clarified.