A Case of True Gastric Carcinosarcoma Diagnosed Preoperatively by Endoscopic Biopsies
Gastric carcinosarcoma is rare and very few cases differentiating toward specific nonepithelial tissue have been reported. A 74-year-old man admitted for epigastralgia and anorexia was diagnosed with true gastric carcinosarcoma based on endoscopic biopsy showing lesions differentiating toward chondr...
Saved in:
Published in | Nippon Shokaki Geka Gakkai zasshi Vol. 39; no. 3; pp. 294 - 299 |
---|---|
Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | Japanese |
Published |
The Japanese Society of Gastroenterological Surgery
2006
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Gastric carcinosarcoma is rare and very few cases differentiating toward specific nonepithelial tissue have been reported. A 74-year-old man admitted for epigastralgia and anorexia was diagnosed with true gastric carcinosarcoma based on endoscopic biopsy showing lesions differentiating toward chondrosarcoma. We conducted total gastrectomy with local resection of the lateral hepatic segment and diaphragm involvement. The primary tumor lesion was composed pathologically of carcinomatous and chondrosarcomatous elements. Carcinomatous elements showed poorly to moderately differentiated adenocarcinoma, along with small-cell carcinoma. Sarcomatous elements showed spindle cells and cartilaginous components. Metastatic lymph nodes contained only carcinomatous elements. The man died of multiple liver metastases 5 months after surgery. The autopsy showed that pathological findings of liver metastases were similar to those of the primary tumor, suggesting the potential of sarcomatous elements for hepatic metastasis. We reported the present case to add to reports on clinical cases of true gastric carcinosarcoma, because fewer than 10 cases have been reported to date. |
---|---|
AbstractList | Gastric carcinosarcoma is rare and very few cases differentiating toward specific nonepithelial tissue have been reported. A 74-year-old man admitted for epigastralgia and anorexia was diagnosed with true gastric carcinosarcoma based on endoscopic biopsy showing lesions differentiating toward chondrosarcoma. We conducted total gastrectomy with local resection of the lateral hepatic segment and diaphragm involvement. The primary tumor lesion was composed pathologically of carcinomatous and chondrosarcomatous elements. Carcinomatous elements showed poorly to moderately differentiated adenocarcinoma, along with small-cell carcinoma. Sarcomatous elements showed spindle cells and cartilaginous components. Metastatic lymph nodes contained only carcinomatous elements. The man died of multiple liver metastases 5 months after surgery. The autopsy showed that pathological findings of liver metastases were similar to those of the primary tumor, suggesting the potential of sarcomatous elements for hepatic metastasis. We reported the present case to add to reports on clinical cases of true gastric carcinosarcoma, because fewer than 10 cases have been reported to date. |
Author | Harada, Akio Inokawa, Yoshikuni Kajikawa, Masaki Nakayama, Shigeki Takase, Tsunenobu Okamura, Yukiyasu Yaguchi, Toyohisa Sugae, Takashi Shirota, Takashi Nakamura, Takaaki |
Author_xml | – sequence: 1 fullname: Takase, Tsunenobu organization: Department of Surgery, Aichi Prefectural Koseiren Kainan Hospital – sequence: 2 fullname: Harada, Akio organization: Department of Surgery, Aichi Prefectural Koseiren Kainan Hospital – sequence: 3 fullname: Yaguchi, Toyohisa organization: Department of Surgery, Aichi Prefectural Koseiren Kainan Hospital – sequence: 4 fullname: Kajikawa, Masaki organization: Department of Surgery, Aichi Prefectural Koseiren Kainan Hospital – sequence: 5 fullname: Nakayama, Shigeki organization: Department of Surgery, Aichi Prefectural Koseiren Kainan Hospital – sequence: 6 fullname: Shirota, Takashi organization: Department of Surgery, Aichi Prefectural Koseiren Kainan Hospital – sequence: 7 fullname: Okamura, Yukiyasu organization: Department of Surgery, Aichi Prefectural Koseiren Kainan Hospital – sequence: 8 fullname: Sugae, Takashi organization: Department of Surgery, Aichi Prefectural Koseiren Kainan Hospital – sequence: 9 fullname: Inokawa, Yoshikuni organization: Department of Surgery, Aichi Prefectural Koseiren Kainan Hospital – sequence: 10 fullname: Nakamura, Takaaki organization: Department of Pathology, Aichi Prefectural Koseiren Kainan Hospital |
BookMark | eNo9kEFPwzAMhSM0JMbYiT-QO-pomrRJjmMbA2kSHLZz5abuyLQ1VVKQ-u_JGNrF1rO_Z1nvnoxa1yIhjyyd5Yrz58NhH2ZczzItbsiYcaESzWU2IuOUqyLRslB3ZBqCrdI0VzJqNia7OV1AQOoauvXfSNcQem9NHHpjWxdicyegSwv7qLCmnx5dhx56-4PHgVYDXbW1C8Z10fViXRcshgdy28Ax4PS_T8judbVdvCWbj_X7Yr5JDE-5SGQj6ib-IVNhcgGaCcMLWUthGEOpUWFl6iqvAXgmQWWigLxhWsZSCUTNJ-Tpctd4F4LHpuy8PYEfSpaW51DKcygl12UMJdLLC30IPezxyoLvrTniH8t0oc88v5Rou67NF_gSW_4LNZZwPA |
CitedBy_id | crossref_primary_10_3919_jjsa_73_1679 crossref_primary_10_5833_jjgs_43_809 crossref_primary_10_1007_s13691_014_0157_7 crossref_primary_10_33160_yam_2017_12_006 crossref_primary_10_5833_jjgs_2012_0324 crossref_primary_10_3919_jjsa_73_1110 crossref_primary_10_5833_jjgs_2017_0151 crossref_primary_10_3919_jjsa_72_2535 crossref_primary_10_5833_jjgs_2012_0053 |
ContentType | Journal Article |
Copyright | The Japanese Society of Gastroenterological Surg |
Copyright_xml | – notice: The Japanese Society of Gastroenterological Surg |
DBID | AAYXX CITATION |
DOI | 10.5833/jjgs.39.294 |
DatabaseName | CrossRef |
DatabaseTitle | CrossRef |
DatabaseTitleList | |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 1348-9372 |
EndPage | 299 |
ExternalDocumentID | 10_5833_jjgs_39_294 article_jjgs1969_39_3_39_3_294_article_char_en |
GroupedDBID | 2WC ALMA_UNASSIGNED_HOLDINGS EBS EJD JSF KQ8 OK1 RJT AAYXX CITATION |
ID | FETCH-LOGICAL-c3034-7f4df976704c54a914c367d74c11e79e8ebcdb5daa327a8246a5f1975f1b4ee93 |
ISSN | 0386-9768 |
IngestDate | Fri Aug 23 00:44:50 EDT 2024 Sun Jul 28 05:52:41 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | false |
IsScholarly | true |
Issue | 3 |
Language | Japanese |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c3034-7f4df976704c54a914c367d74c11e79e8ebcdb5daa327a8246a5f1975f1b4ee93 |
OpenAccessLink | https://www.jstage.jst.go.jp/article/jjgs1969/39/3/39_3_294/_article/-char/en |
PageCount | 6 |
ParticipantIDs | crossref_primary_10_5833_jjgs_39_294 jstage_primary_article_jjgs1969_39_3_39_3_294_article_char_en |
PublicationCentury | 2000 |
PublicationDate | 2006 2006-00-00 |
PublicationDateYYYYMMDD | 2006-01-01 |
PublicationDate_xml | – year: 2006 text: 2006 |
PublicationDecade | 2000 |
PublicationTitle | Nippon Shokaki Geka Gakkai zasshi |
PublicationTitleAlternate | Jpn J Gastroenterol Surg |
PublicationYear | 2006 |
Publisher | The Japanese Society of Gastroenterological Surgery |
Publisher_xml | – name: The Japanese Society of Gastroenterological Surgery |
References | 5) 森直治, 北村宏, 岩瀬紀ほか: 粘膜下腫瘍の発育形態を示した胃癌肉腫の1例. 日消外会誌37: 296-300, 2004 2) 井上真也, 吉見富洋, 登内仁ほか: 胃癌肉腫の1例. 日消外会誌31: 945-949, 1998 1) 斉藤次六: 胃のカルチノザルコームの1例標本供覧. 日病理会誌6: 757-760, 1916 11) 沼本敏, 谷木利勝, 梶本宜史ほか: AFP産生胃原発“真の癌肉腫”の1例-症例報告と文献的考察-. 癌の臨44: 903-907, 1998 13) 藍田啓吾, 和又利也, 菅沢章ほか: 胃の“いわゆる癌肉腫”の1例. 日臨外会誌59: 702-706, 1998 8) 菅井有, 高山和夫, 佐々木功典ほか: 胃癌肉腫の1例. 癌の臨37: 777-783, 1991 10) Nakayama Y, Murayama H, Iwasaki H et al: Gastric carcinosarcoma (saromatoid carcinoma) with rhabdomyoblastic and osteoblastic differentiation. Pathol Int 47: 557-563, 1997 6) 林繁和, 佐竹立成: 胃癌肉腫. 別冊日本臨床領域別症候群5消化管症候群(上). 日本臨床社, 大阪, 1994, p364-366 3) Tanimura H, Fukura M: Carcinosarcoma of the stomach. Am J Surg 113: 702-709, 1967 12) 藤井仁, 岩瀬和裕, 檜垣淳ほか: Gastrointestinal stromal tumorの併存を認めた胃癌肉腫の1例. 日臨外会誌63: 2934-2937, 2002 9) Matsukuma S, Wada R, Hase K et al: Gastric stump carcinosarcoma with rhabdomyosarcomatous differentiation. Pathol Int 47: 73-77, 1997 7) 森永正二郎: 癌肉腫の組織発生. 病理と臨14: 1108-1115, 1996 4) 町田哲夫, 高橋道宏, 武田鉄太郎ほか: 胃の癌肉腫の1例. 癌の臨28: 763-1768, 1981 14) 熊谷謙治, 河合紀生子, 草野裕幸ほか: 胃のいわゆる癌肉腫の1例. 癌の臨30: 1931-1936, 1984 |
References_xml | |
SSID | ssib005879761 ssib000936942 ssib023160767 ssj0000491391 ssib002223853 |
Score | 1.6606855 |
Snippet | Gastric carcinosarcoma is rare and very few cases differentiating toward specific nonepithelial tissue have been reported. A 74-year-old man admitted for... |
SourceID | crossref jstage |
SourceType | Aggregation Database Publisher |
StartPage | 294 |
SubjectTerms | carcinosarcoma stomach |
Title | A Case of True Gastric Carcinosarcoma Diagnosed Preoperatively by Endoscopic Biopsies |
URI | https://www.jstage.jst.go.jp/article/jjgs1969/39/3/39_3_294/_article/-char/en |
Volume | 39 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
ispartofPNX | The Japanese Journal of Gastroenterological Surgery, 2006, Vol.39(3), pp.294-299 |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3Nb9MwFLfK4MAFgQAxvuTDblNGUztxfOBQpqFpE0iIVtotsmNnNB1x1bRC5R_l3-G9OEkTxGEDqXKrNE5tv5-ef359H4Qc2YkSRjIJzM2MAx5yG-hImsCEUnPDRGg02js-fY7P5_ziKroajX71vJa2G32S_fxrXMm_SBWugVwxSvYOku0eChfgM8gXWpAwtLeS8fT4VHlb_Gy9BXErLMKRoRNHtihdBW_uuwKtVnvTWYwKsG5lfa7vmx0yz7PSOAxMgV4fFm5VtS6FxR5EF7CdYpnK4x53rX_JYTrPdac8v_YCrGtTwFL5oo2zalva0untXtutlfH23KV3A6v1jrrGwix1D7dz3xZVt2NcqmKxVD-UDy6qgPQOjRUdsAbjbR1SbzHeJrQriQPgTV5RW6-pGQdNzcRAlfu8SA1kWV8v-0rKzRY_8TWZ_tw9MAANd4_iujrBIKa2zyAddyPsFO_C1EIpg5dvoEPafo0xcwDRe-T-RMgIizpcfunxXiyjyHt_ZwNJ6_OmKBEw3U7xAgePx6LhiYU_1gFzr6tBtkvjY09xCu96ExiwrQcFHDhaZ8WaP80ek0cNeOjUj_wJGRXqKZlPKSKYupwigmmDYDpEMO0QTIcIpnpH9wimLYKfkfnHs9npedAU-ggyYFA8EDk3OUxCjHkWcSVDnrFYGMGzMLRC2sTqzOjIKMUmQiUTHqsoD6WARnNrJXtODkpX2heEMsYMLE-ueV0KQUkjMp2MFZZJTXIWHpKjdkHSlc_nksI5GNetFilKEtbtkLz3i9XddDe5v_zP_q_Iw72t7zU52IAM3gD73ei3NZJ-A8ietVk |
link.rule.ids | 315,786,790,4043,27954,27955,27956 |
linkProvider | Colorado Alliance of Research Libraries |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=A+Case+of+True+Gastric+Carcinosarcoma+Diagnosed+Preoperatively+by+Endoscopic+Biopsies&rft.jtitle=The+Japanese+Journal+of+Gastroenterological+Surgery&rft.au=Takase%2C+Tsunenobu&rft.au=Harada%2C+Akio&rft.au=Yaguchi%2C+Toyohisa&rft.au=Kajikawa%2C+Masaki&rft.date=2006&rft.pub=The+Japanese+Society+of+Gastroenterological+Surgery&rft.issn=0386-9768&rft.eissn=1348-9372&rft.volume=39&rft.issue=3&rft.spage=294&rft.epage=299&rft_id=info:doi/10.5833%2Fjjgs.39.294&rft.externalDocID=article_jjgs1969_39_3_39_3_294_article_char_en |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0386-9768&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0386-9768&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0386-9768&client=summon |