Two Cases of Teenage Gastric Cancer Patients.
10.5230/jkgca.2004.4.3.180
- Author:
Hoon Yub KIM
1
;
Do Joong PARK
;
Hyo Jin PARK
;
Hyuk Joon LEE
;
Han Kwang YANG
;
Woo Ho KIM
;
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:
Gastric cancer;
Teenage;
Young age
- MeSH:
Adenocarcinoma;
Adolescent;
Diagnosis;
Gastrectomy;
Gastrointestinal Tract;
Humans;
Infant;
Lymph Node Excision;
Lymph Nodes;
Male;
Neoplasm Metastasis;
Recurrence;
Stomach Neoplasms*
- From:Journal of the Korean Gastric Cancer Association
2004;4(3):180-185
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently, we experienced two advanced gastric cancer (AGC) patients younger than 17 years of age. The first case was a 15-year, 2-month-old male who had suffered from epigastric soreness for 5 weeks. His grandfather died of gastric cancer at 39 years of age. Under the diagnosis of AGC, he underwent a total gastrectomy with D2 lymph node dissection. There was no evidence of distant metastasis. Pathologic examination revealed a 4.5x4 cm, signet ring cell adenocarcinoma with subserosal invasion and with metastasis in 9 of 42 regional lymph nodes (T2bN2M0). The second case was a 17-year, 11-month-old male who had suffered from epigastric pain for 2 years without familial clustering. Under the diagnosis of AGC, he underwent a distal subtotal gastrectomy with D2 lymph node dissection. There was no evidence of distant metastasis. Pathologic examination revealed a 3x2 cm, signet ring cell adenocarcinoma with subserosal invasion and with metastasis in 9 of 45 regional lymph nodes (T2bN2M0). The two patients have been alive without recurrence for 27 months and 4 months, respectively. Even among teenagers, patients with abdominal complaints should be subjected to a thorough examination of the gastrointestinal tract.
