A Case of Scirrhous Gastric Cancer Not Diagnosed by Endoscopy but by Staging Laparoscopy

A 71-year-old female was referred to our hospital for abdominal distention and anorexia. Gastrointestinal endoscopy revealed wall thickening of the entire circumference. Abdominal CT scan showed diffuse thickening of the stomach, but there was no obvious metastasis. Scirrhous gastric cancer was stro...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 49; no. 13; p. 2007
Main Authors Saijo, Takehiko, Sato, Hideaki, Tomita, Yuki, Mochizuki, Yasushi, Masuda, Kunihiro, Muto, Mitsuhisa, Ueno, Tatsuya, Kikuchi, Hiroshi, Goto, Hitoshi, Suzuki, Yukimasa, Goto, Shinji, Miyazaki, Shukichi
Format Journal Article
LanguageJapanese
Published Japan 01.12.2022
Subjects
Aged
Endoscopy, Gastrointestinal
Female
Humans
Laparoscopy
Neoplasm Staging
Peritoneum - pathology
Stomach Neoplasms - pathology
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Summary:A 71-year-old female was referred to our hospital for abdominal distention and anorexia. Gastrointestinal endoscopy revealed wall thickening of the entire circumference. Abdominal CT scan showed diffuse thickening of the stomach, but there was no obvious metastasis. Scirrhous gastric cancer was strongly suspected, but endoscopic biopsies could not demonstrate malignant features. Staging laparoscopy was performed. There was a small amount of ascites and numerous peritoneal dissemination. She was diagnosed with gastric cancer pStage Ⅳ(pT4a, NX, H0, M1, P1, CY1)without HER2 positivity. We experienced a case of scirrhous gastric cancer in which staging laparoscopy was useful for histological diagnosis and staging.
ISSN:0385-0684