Abstract

BackgroundSkip lymphatic metastasis (SK) is an exceptional and characteristic pattern of lymph node metastasis in gastric cancer (GC) with infrequent incidence. This is an extremely rare report of occult gastric cancer with solitary skip lymphatic metastasis as the initial and primary observation.Case presentationA 61-year-old woman, who complained of epigastric discomfort for several years, presented a solitary nodule upon pancreas neck examination by CT without performance on the primary lesion, even gastroscopy. During the preoperative 4-month follow-up, the nodule stayed stable without any therapy. The postoperative pathological examination confirmed the consistent diagnosis of gastric adenocarcinoma between the nodule and the stomach lesion, which was found by preoperative random biopsy of the mucosa.ConclusionsThis case highlights the concentration on vigilance to the SK of GC and a closer observation for intra-abdominal nodules, even radiological suspicion of a benign lesion.

Highlights

  • Skip lymphatic metastasis (SK) is an exceptional and characteristic pattern of lymph node metastasis in gastric cancer (GC) with infrequent incidence

  • This case highlights the concentration on vigilance to the SK of GC and a closer observation for intraabdominal nodules, even radiological suspicion of a benign lesion

  • * Correspondence: xuli@sysucc.org.cn 1Department of Liver Surgery, Sun Yat-sen University Cancer Center, 651 Dongfeng East Road, Guangzhou 510060, People’s Republic of China 2State Key Laboratory of Oncology in South China, Guangzhou, People’s Republic of China Full list of author information is available at the end of the article of GC, especially of clinical occult GC, which is characteristic of the metastasis as the first symptom and the overlooking of the primary lesion

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Summary

Introduction

Skip lymphatic metastasis (SK) is an exceptional and characteristic pattern of lymph node metastasis in gastric cancer (GC) with infrequent incidence. Conclusions: This case highlights the concentration on vigilance to the SK of GC and a closer observation for intraabdominal nodules, even radiological suspicion of a benign lesion. * Correspondence: xuli@sysucc.org.cn 1Department of Liver Surgery, Sun Yat-sen University Cancer Center, 651 Dongfeng East Road, Guangzhou 510060, People’s Republic of China 2State Key Laboratory of Oncology in South China, Guangzhou, People’s Republic of China Full list of author information is available at the end of the article of GC, especially of clinical occult GC, which is characteristic of the metastasis as the first symptom and the overlooking of the primary lesion.

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