Journal of the Korean Gastric Cancer Association  2010;10(1):40-44

doi:10.5230/jkgca.2010.10.1.40

Advanced Gastric Cancer That Was Curatively Resected 78 Months after Being Diagnosed: Report of a Case.

Hae Jung SON 1 ; Moon Won YOO ; Seong Ho KONG ; Hye Seong AHN ; In Kyu LEE ; Woo Ho KIM ; Hyuk Joon LEE ; Han Kwang YANG

Affiliations

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Keywords

Advanced stomach cancer; Natural history of stomach cancer

Country

Republic of Korea

Language

Korean

Abstract

The natural history of gastric cancer is unclear. We report here on a rare case of advanced gastric cancer for which we performed curative gastrectomy 78 months after the diagnosis. A 74-year-old woman with epigastric pain underwent esophagogastroscopy in January, 2000 and she was diagnosed with advanced gastric cancer. Suspicious omental cake was noted on CT. After refusing all kinds of treatment, she underwent a follow up CT scan on September, 2002, which no longer suggested omental cake. She once again refused treatment, but she visited the hospital in June, 2006 due to severe epigastric pain and a decreased oral intake. Abdominal CT showed no distant metastasis, and so radical subtotal gastrectomy with regional lymph node dissection was performed in July, 2006 and the TNM stage was T2bN1M0 (stage II)