A Case of Gastric Cancer Associated with Gastric Tuberculosis
In a case of gastric cancer associated with gastric tuberculosis, a 74-year-old woman was admitted to our hospital for dysphagia. Gastrointestinal fiberscopy revealed gastric cancer in the cardiac region with stenosis of the lower esophagus. Plain chest X-ray and chest computed tomography (CT) showe...
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| Published in | Nippon Shokaki Geka Gakkai zasshi Vol. 34; no. 10; pp. 1527 - 1531 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Society of Gastroenterological Surgery
2001
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0386-9768 1348-9372 |
| DOI | 10.5833/jjgs.34.1527 |
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| Abstract | In a case of gastric cancer associated with gastric tuberculosis, a 74-year-old woman was admitted to our hospital for dysphagia. Gastrointestinal fiberscopy revealed gastric cancer in the cardiac region with stenosis of the lower esophagus. Plain chest X-ray and chest computed tomography (CT) showed a linear high-density area in the lower left lung field. Esophageal stenting and chemotherapy were conducted preceding surgery. Lower esophagectomy and total gastrectomy with distal pancreatectomy and splenectomy were then done. Histological examination revealed tubercular lesions such as Langhans' giant cells and epithelioid granuloma in a gastric cancer lesion and regional lymph nodes. Although tubercle bacillus was not detected, the lesion was diagnosed as gastric tuberculosis basad on histopathogical findings. Pulmonary tuberculosis was inactive, so chemotherapy was not undertaken for tuberculosis. The patient is doing well without evidence of gastric cancer recurrence or of tubercular recrudescence in the 18 months since surgery. Coexistence of gastric cancer associated with gastric tuberculosis is rare, and this is only the 18th case reported in Japan to our knowledge. |
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| AbstractList | In a case of gastric cancer associated with gastric tuberculosis, a 74-year-old woman was admitted to our hospital for dysphagia. Gastrointestinal fiberscopy revealed gastric cancer in the cardiac region with stenosis of the lower esophagus. Plain chest X-ray and chest computed tomography (CT) showed a linear high-density area in the lower left lung field. Esophageal stenting and chemotherapy were conducted preceding surgery. Lower esophagectomy and total gastrectomy with distal pancreatectomy and splenectomy were then done. Histological examination revealed tubercular lesions such as Langhans' giant cells and epithelioid granuloma in a gastric cancer lesion and regional lymph nodes. Although tubercle bacillus was not detected, the lesion was diagnosed as gastric tuberculosis basad on histopathogical findings. Pulmonary tuberculosis was inactive, so chemotherapy was not undertaken for tuberculosis. The patient is doing well without evidence of gastric cancer recurrence or of tubercular recrudescence in the 18 months since surgery. Coexistence of gastric cancer associated with gastric tuberculosis is rare, and this is only the 18th case reported in Japan to our knowledge. |
| Author | Setoyama, Hiroshi Asakawa, Masami Takeyari, Toyofumi Hosaka, Naoki Ichinose, You Okabe, Michio Kaneko, Iwao Tanaka, Toshirou |
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| References | 15) 小笠原邦夫, 西島早見, 西井博ほか: 胃結核に胃癌を合併した1症例. 外科診療33: 611-614, 1991 17) 森英俊, 高島暁光, 嬉野義彦ほか: IIc型早期胃癌に胃結核を合併した1例. 武雄杵島臨医誌3: 59-61, 1993 9) 内田哲, 和田静江, 大田明英ほか: 多発早期胃癌と胃結核症の合併がみられた1症例. 日消病会誌75: 1860, 1978 11) 吉谷親夫, 木村正治, 高見元敞ほか: IIc型早期胃癌と胃結核が共存した1例. 癌の臨25: 307-313, 1979 3) 鶴崎宏: 胃癌と胃結核の合併症例. 病理学誌1: 747-752, 1942 7) 宮崎昌之, 植村富士男: 空腸キサントーム及び胃結核症を伴える胃癌の1例. 日外会誌64: 731, 1963 10) 角田秀雄, 長野叡, 菊池晃ほか: 同一病巣内に胃結核を伴った胃癌の1症例-自験例ならびに本邦報告例を中心に. 最新医33: 2571-2576, 1978 6) 濾武相: 胃における結核と癌の合併症例. 診療11: 86-88, 1958 22) 赤松泰次, 宮林秀晴, 藤森一也ほか: 腸結核における遺伝子診断の有用性と問題点. 胃と腸30: 525-531, 1995 1) 本田偉志: 結核と癌腫との併発に就いて. 長崎医会誌5: 127-150, 1927 13) 宮崎義則, 加藤一吉, 山本洋之ほか: 同一病巣内に胃結核をともなった早期胃癌の1例. 鳥取医誌16: 127-131, 1988 5) 和田武雄: 胃結核を合併せる胃癌の1例. 北方医1: 92-93, 1947 19) White R R: Simultaneous carcinoma and tuberculosis of the stomach in a case of pernicious anemia. Proc Staff Meet MMayo Clin. 18: 165-176, 1943 8) 岩佐善二, 東弘, 広瀬俊太ほか: 胃結核を合併する胃癌の1例. 癌の臨18: 821-825, 1972 12) 塩野悟, 大木一郎, 大友晋ほか: 胃結核症に早期胃癌 (IIc) と胃良性潰瘍を合併した1症例. Gastroenterol Endosc 29: 358-359, 1987 18) 日本胃癌学会編: 胃癌取扱い規約. 第13版. 金原出版, 東京, 1999 16) 奥村浩, 三科武, 石原良ほか: 早期胃癌の手術に際して発見された胃結核の1例. 鶴岡市荘内病医誌3: 32-39, 1992 2) 常久哲: 胃癌に胃結核を併発する一剖検例に就いて. 癌24: 1-20, 1930 14) 星子浄水, 渕上忠彦, 富永雅也ほか: 胃癌に合併した胃結核の1例. Gastroenterol Endosc 32: 680-681, 1990 20) 青木國雄, 佐々木隆一郎: 先行疾患結核とがん. 癌の臨38: 240-254, 1992 4) 仁保三四次: 胃結核を合併した胃癌の1例. 新臨床1: 35-36, 1946 21) 金子栄蔵: 知っておくべき疾患-胃胃結核. 臨消内科9: 1325-1329, 1994 |
| References_xml | – reference: 19) White R R: Simultaneous carcinoma and tuberculosis of the stomach in a case of pernicious anemia. Proc Staff Meet MMayo Clin. 18: 165-176, 1943 – reference: 5) 和田武雄: 胃結核を合併せる胃癌の1例. 北方医1: 92-93, 1947 – reference: 7) 宮崎昌之, 植村富士男: 空腸キサントーム及び胃結核症を伴える胃癌の1例. 日外会誌64: 731, 1963 – reference: 14) 星子浄水, 渕上忠彦, 富永雅也ほか: 胃癌に合併した胃結核の1例. Gastroenterol Endosc 32: 680-681, 1990 – reference: 21) 金子栄蔵: 知っておくべき疾患-胃胃結核. 臨消内科9: 1325-1329, 1994 – reference: 16) 奥村浩, 三科武, 石原良ほか: 早期胃癌の手術に際して発見された胃結核の1例. 鶴岡市荘内病医誌3: 32-39, 1992 – reference: 9) 内田哲, 和田静江, 大田明英ほか: 多発早期胃癌と胃結核症の合併がみられた1症例. 日消病会誌75: 1860, 1978 – reference: 12) 塩野悟, 大木一郎, 大友晋ほか: 胃結核症に早期胃癌 (IIc) と胃良性潰瘍を合併した1症例. Gastroenterol Endosc 29: 358-359, 1987 – reference: 17) 森英俊, 高島暁光, 嬉野義彦ほか: IIc型早期胃癌に胃結核を合併した1例. 武雄杵島臨医誌3: 59-61, 1993 – reference: 10) 角田秀雄, 長野叡, 菊池晃ほか: 同一病巣内に胃結核を伴った胃癌の1症例-自験例ならびに本邦報告例を中心に. 最新医33: 2571-2576, 1978 – reference: 6) 濾武相: 胃における結核と癌の合併症例. 診療11: 86-88, 1958 – reference: 22) 赤松泰次, 宮林秀晴, 藤森一也ほか: 腸結核における遺伝子診断の有用性と問題点. 胃と腸30: 525-531, 1995 – reference: 18) 日本胃癌学会編: 胃癌取扱い規約. 第13版. 金原出版, 東京, 1999 – reference: 20) 青木國雄, 佐々木隆一郎: 先行疾患結核とがん. 癌の臨38: 240-254, 1992 – reference: 3) 鶴崎宏: 胃癌と胃結核の合併症例. 病理学誌1: 747-752, 1942 – reference: 1) 本田偉志: 結核と癌腫との併発に就いて. 長崎医会誌5: 127-150, 1927 – reference: 2) 常久哲: 胃癌に胃結核を併発する一剖検例に就いて. 癌24: 1-20, 1930 – reference: 4) 仁保三四次: 胃結核を合併した胃癌の1例. 新臨床1: 35-36, 1946 – reference: 11) 吉谷親夫, 木村正治, 高見元敞ほか: IIc型早期胃癌と胃結核が共存した1例. 癌の臨25: 307-313, 1979 – reference: 13) 宮崎義則, 加藤一吉, 山本洋之ほか: 同一病巣内に胃結核をともなった早期胃癌の1例. 鳥取医誌16: 127-131, 1988 – reference: 15) 小笠原邦夫, 西島早見, 西井博ほか: 胃結核に胃癌を合併した1症例. 外科診療33: 611-614, 1991 – reference: 8) 岩佐善二, 東弘, 広瀬俊太ほか: 胃結核を合併する胃癌の1例. 癌の臨18: 821-825, 1972 |
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| SubjectTerms | advanced gastric cancer gastric cancer associated with gastric tuberculosis total gastrectomy |
| Title | A Case of Gastric Cancer Associated with Gastric Tuberculosis |
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