Abstract
A 61-year-old male, complaining of cough was pointed out to have a palpable upper abdominal mass. Blood biochemical examination revaled mild anemia and elevated tumor makers such as CEA 104.4 ng/ml and CA19-9 1.270 U/ml. Gastric endoscopy indicated a gastric cancer of Borrmann type 3 a rising in the posterior wall of angular notch. However, ultrasonic endoscopy revealed a presence of extramural huge tumor presenting as low echo area. Abdominal CT and angiography offered a suspicion of extragastric developing type carcinoma. Operation was carried out. During operation a 10×9 cm tumor extramurally growing from antrum was found. Subtotal gastrectomy with right hemicolectomy (R3) was performed, leading to curative resection. Macroscopic observation of the resected specimen included a type 3 suggestive finding on the mucosal surface and a huge tumor with yellowish fur on the serosal surface.Histopathologically the tumor was Pan, med, INFα, ssβ, ly0, v0, n1 (+) (No.4, No.6) in stage II. The patient was treated with sustained thermochemotherapy involving cisplatin and mitomicin C during surgery, followed by long-term oral tegafur regimon, there has no recurrence up to now, 8 month after operation.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: The journal of the Japanese Practical Surgeon Society
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
