Abstract
A 60 year old man was referred to our hospital with the chief complaints of abdominal pain and vomiting. He underwent a distal gastrectomy with a Billroth II gastrojejunostomy for a peptic ulcer 13 years ago. Esophagogastroduodenoscopy (EGD) did not reveal any gross lesion in the stomach but depigmented areas were seen in the anastomosis line. The histopathology of the anastomotic area revealed poorly differentiated adenocarcinoma. Gastric stump cancers can be polypoid, fungating, ulcerated and diffusely infiltrating tumors respectively. In our case, the appearance of adenocarcinoma was quite different from that described in the classification system.
Highlights
Gastric cancer is the fourth most common cancer in men, the fifth most common cancer in women, and the second leading cause of death due to cancer (1)
Survival from gastric cancer remains low in the Western world, with reported 5‐year survival rates of 10–30% (2), in contrast to survival rates in Asia of 69% (3)
Gastric stump carcinoma (GSC) is defined as a carcinoma occurring in the gastric remnant at least
Summary
Gastric cancer is the fourth most common cancer in men, the fifth most common cancer in women, and the second leading cause of death due to cancer (1). 5 years after surgery for benign peptic ulcer dis‐ ease (4). Various macroscopic classification systems have been developed for gastric adenocarcinoma. Ferdane Sapmaz et al Journal of Health Sciences 2015;5(3):104-106http://www.jhsci.ba of the more common is the Borrmann system, with classifications of type’s I‐IV for polypoid, fungat‐ ing, ulcerated, and diffusely infiltrating tumors, respectively (8).
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