A Case of Gastric Lymphoepithelioma-like Carcinoma Presenting as Panperitonitis by Perforation of Stomach.
10.4166/kjg.2011.58.4.208
- Author:
Pyung Gohn GOH
1
;
Eui Sik KIM
;
Yun Jeung KIM
;
Soo Youn LEE
;
Hee Seok MOON
;
Seok Hyun KIM
;
Byung Seok LEE
;
Hyun Yong JEONG
Author Information
1. Department of Internal Medicine, School of Medicine, Chungnam National University, Daejeon, Korea. mhs1357@hanmail.net
- Publication Type:Case Reports ; English Abstract
- Keywords:
Gastric lymphoepithelioma-like carcinoma;
Spontaneous tumor perforation
- MeSH:
Carcinoma/*diagnosis/pathology/therapy;
Combined Modality Therapy;
Humans;
Lymphoma/radiography/surgery;
Male;
Middle Aged;
Pneumoperitoneum/etiology/radiography/surgery;
Rupture, Spontaneous;
Stomach Neoplasms/*complications/*diagnosis/pathology/therapy;
Stomach Rupture/*complications/radiography/surgery;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2011;58(4):208-211
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastric lymphoepithelioma-like carcinoma is a rare carcinoma among gastric malignant tumor but has a good prognosis. The carcinoma has histologic feature characterized by small nest of cancer cells mixed with lymphoid stroma. We report a case with lymphoepithelioma-like carcinoma of stomach initially presenting as panperitonitis because of spontaneous tumor perforation. A 56-year-old man visited our emergency room because of epigastric pain. A preoperative abdominal CT scan showed a massive pneumoperitoneum in the upper abdomen, and the presence of gastric cancer in the lesser curvature of the stomach. An emergent laparotomy was performed followed by radical subtotal gastrectomy. Pathologic examination revealed that the tumor was a lymphoepithelioma-like gastric carcinoma.
