Two Cases of Primary Small Cell Carcinomas of the Stomach.
10.5230/jkgca.2004.4.3.186
- Author:
Yun Seock SEO
1
;
Do Joong PARK
;
Hyuk Joon LEE
;
Soo Youn CHO
;
Woo Ho KIM
;
Seong Hoe PARK
;
Han Kwang YANG
;
Kuhn Uk LEE
;
Kuk Jin CHOE
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. hkyang@plaza.snu.ac.kr
- Publication Type:Case Report
- Keywords:
Small-cell carcinoma of the stomach;
Collision tumor;
Pure small-cell carcinoma
- MeSH:
Adenocarcinoma;
Aged;
Biopsy;
Carcinoma, Small Cell*;
Diagnosis;
Gastrectomy;
Humans;
Lung;
Lymph Nodes;
Middle Aged;
Neoplasm Metastasis;
Pathology;
Stomach*;
Survival Rate
- From:Journal of the Korean Gastric Cancer Association
2004;4(3):186-191
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary small-cell carcinomas of the stomach are rare and aggressive malignancies with poor survival rates. Preoperative diagnosis is difficult and a standard treatment is not yet established. We have recently experienced two cases of a primary small-cell carcinoma of the stomach. The first case was a 65-year-old man with epigastric soreness. Endoscopic biopsy showed an adenocarcinoma. He underwent a radical subtotal gastrectomy with D2 lymph-node dissection. Pathology revealed a collision tumor of a small- cell carcinoma and an adenocarcinoma with submucosal invasion and with metastasis in 20 out of 48 lymph nodes (T1N3M0). The second case was a 64-year-old man with epigastric soreness. Endoscopic biopsy revealed a small-cell carcinoma. There was no evidence of a primary tumor in the lung. A radical subtotal gastrectomy with D2 lymph-node dissection was performed. Pathology showed a pure small- cell carcinoma with proper muscle invasion and with metastasis in 1 out of 36 lymph nodes (T2aN1M0).
