A Case of Advanced Gastric Cancer with Para-Aortic Lymph Node Metastasis from Co-Occurring Prostate Canceropen access
- Authors
- Park, Miyeong; Jeong, Sang-Ho; Lee, Young-Joon; Park, Ji-Ho; Choi, Sang-Kyung; Hong, Soon-Chan; Jung, Eun-Jung; Ju, Young-tae; Jeong, Chi-Young; Lee, Jeong-Hee; Ha, Woo-Song
- Issue Date
- 2017
- Publisher
- KOREAN GASTRIC CANCER ASSOC
- Keywords
- Stomach neoplasms; Prostatic neoplasms; Lymphatic metastasis; Lymph nodes
- Citation
- JOURNAL OF GASTRIC CANCER, v.17, no.1, pp.93 - 97
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- JOURNAL OF GASTRIC CANCER
- Volume
- 17
- Number
- 1
- Start Page
- 93
- End Page
- 97
- URI
- https://scholarworks.bwise.kr/gnu/handle/sw.gnu/15061
- DOI
- 10.5230/jgc.2017.17.e10
- ISSN
- 2093-582X
- Abstract
- An 84-year-old man was diagnosed with two synchronous adenocarcinomas, a Borrmann type IV advanced gastric adenocarcinoma in his antrum and a well-differentiated Borrmann type I carcinoma on the anterior wall of the higher body of his stomach. Pre-operatively, computed tomography of the abdomen revealed the presence of advanced gastric cancer with peri-gastric and para-aortic lymph node (LN) metastasis. He planned for palliative total gastrectomy owing to the risk of obstruction by the antral lesion. We performed a frozen biopsy of a para-aortic LN during surgery and found that the origin of the para-aortic LN metastasis was from undiagnosed prostate cancer. Thus, we performed radical total gastrectomy and D2 LN dissection. Post-operatively, his total prostate-specific antigen levels were high (227 ng/mL) and he was discharged 8 days after surgery without any complications.
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