A Case of Extragastric-Developing Gastric Cancer with Hepatic and Pancreatic Invasion Suggesting Squamous Differentiation

A 69-year-old man presented with left upper abdominal pain and weight loss. Contrast-enhanced CT showed a 9 cmsized extragastric tumor located between the left lateral liver section and the gastric lesser curvature. Gastroendoscopy showed a type 3 tumor located at the lesser curvature of the antrum....

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 44; no. 12; p. 1544
Main Authors Emoto, Norio, Yoshimoto, Yasunori, Sakamoto, Yusuke, Nishimura, Taku, Kawamura, Yuichiro, Fujikawa, Takahisa, Tanaka, Akira
Format Journal Article
LanguageJapanese
Published Japan 01.11.2017
Subjects
Adenocarcinoma - drug therapy
Adenocarcinoma - surgery
Aged
Animals
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Carcinoma, Squamous Cell - surgery
Fatal Outcome
Humans
Liver - pathology
Male
Neoplasm Invasiveness
Pancreas - pathology
Stomach Neoplasms - drug therapy
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
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Summary:A 69-year-old man presented with left upper abdominal pain and weight loss. Contrast-enhanced CT showed a 9 cmsized extragastric tumor located between the left lateral liver section and the gastric lesser curvature. Gastroendoscopy showed a type 3 tumor located at the lesser curvature of the antrum. Biopsy confirmed that the tumor was an adenocarcinoma. With a diagnosis of extragastric-developing gastric cancer with hepatic and pancreatic invasion, the patient underwent a totalgastrectomy, D2 lymph node dissection, partiall iver resection, and pancreatic body tailexcision. The pathologicaldiagnosis was poorly differentiated adenocarcinoma suggesting squamous differentiation. Despite receiving postoperative adjuvant chemotherapy, the patient died of recurrence 7 months later.
ISSN:0385-0684