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- Title
Peritoneal Dialysis and Malignancy: An Experience With a Patient Complicated by Gastric Carcinoma.
- Authors
Akimoto, Tetsu; Muto, Shigeaki; Kutsuwada, Tatsuya; Kutsuwada, Keiko; Nagata, Daisuke
- Abstract
An 86-year-old man who had been treated with peritoneal dialysis for 14°months due to end-stage kidney disease secondary to hypertensive nephrosclerosis presented with a recent history of malaise, abdominal discomfort, and anorexia. An endoscopic evaluation revealed an elevated, ulcerated, and friable lesion around the lesser curvature of the stomach. The concurrent gastric biopsy specimens revealed moderately differentiated adenocarcinoma, while a cytological examination of the dialysis fluid revealed clusters of malignant cells. This is the first report illustrating a case of a Borrmann type 3 gastric cancer with synchronous peritoneal involvement in which the assessment of the disease state was aided by the cytological analysis of peritoneal effluent. Several concerns relating to this pathology are also discussed.
- Subjects
ADENOCARCINOMA; BIOPSY; CHRONIC kidney failure; CYTOLOGY; NEPHROSCLEROSIS; PERITONEAL dialysis; STOMACH tumors; DISEASE complications; SYMPTOMS
- Publication
Clinical Medicine Insights: Case Reports, 2019, Issue 12, pN.PAG
- ISSN
1179-5476
- Publication type
Article
- DOI
10.1177/1179547619835176