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- Title
A Case of Advanced Gastric Cancer with Para-Aortic Lymph Node Metastasis from Co-Occurring Prostate Cancer.
- Authors
Miyeong Park; Sang-Ho Jeong; Young-Joon Lee; Ji-Ho Park; Sang-Kyung Choi; Soon-Chan Hong; Eun-Jung Jung; Young-tae Ju; Chi-Young Jeong; Jeong-Hee Lee; Woo-Song Ha
- 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.
- Subjects
PROSTATE cancer patients; ADENOCARCINOMA; LYMPH node cancer; STOMACH cancer; GASTRECTOMY
- Publication
Journal of Gastric Cancer, 2017, Vol 17, Issue 1, p93
- ISSN
2093-582X
- Publication type
Case Study
- DOI
10.5230/jgc.2017.17.e10