Abstract: Cystic liver metastasis, which lacks specific clinical manifestations and standardized treatment, rarely occurs after radical gastrectomy.This study presented two gastric cancer cases with cystic liver metastasis treated in Wuxi People's Hospital from September 2008 to November 2012.The two female patients were 66 and 65 years old, respectively.Poorly differentiated ulcerated adenocarcinoma classified as stage III B Tumor, Node, and Metastasis Classification(T_4aN₂M₀) and clinical manifestations of abdominal distension and ascites were detected in both patients.Cyst fluids were subjected to cytological analysis.Resultsconfirmed the presence of liver metastasis of gastric cancer.The two patients benefited from local intracavitary chemotherapy or systemic intravenous chemotherapy.