A Case of Advanced Gastric Cancer with Para-Aortic Lymph Node Metastasis from Co-Occurring Prostate Cancer
Journal of Gastric Cancer
;
: 93-97, 2017.
Article
Dans Anglais
| WPRIM
| ID: wpr-76829
ABSTRACT
An 84-year-old man was diagnosed with two synchronous adenocarcinomas, a Borrmann type IV advanced gastric adenocarcinoma in his antrum and a well-differentiated Borrmann type I carcinoma on the anterior wall of the higher body of his stomach. Pre-operatively, computed tomography of the abdomen revealed the presence of advanced gastric cancer with peri-gastric and para-aortic lymph node (LN) metastasis. He planned for palliative total gastrectomy owing to the risk of obstruction by the antral lesion. We performed a frozen biopsy of a para-aortic LN during surgery and found that the origin of the para-aortic LN metastasis was from undiagnosed prostate cancer. Thus, we performed radical total gastrectomy and D2 LN dissection. Post-operatively, his total prostate-specific antigen levels were high (227 ng/mL) and he was discharged 8 days after surgery without any complications.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Prostate
/
Tumeurs de la prostate
/
Estomac
/
Tumeurs de l'estomac
/
Biopsie
/
Adénocarcinome
/
Antigène spécifique de la prostate
/
Abdomen
/
Gastrectomie
/
Noeuds lymphatiques
Limites du sujet:
Adulte très âgé
/
Aged80
/
Humains
langue:
Anglais
Texte intégral:
Journal of Gastric Cancer
Année:
2017
Type:
Article
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