Journal of Gastric Cancer  2017;17(1):93-97

doi:10.5230/jgc.2017.17.e10

A Case of Advanced Gastric Cancer with Para-Aortic Lymph Node Metastasis from Co-Occurring Prostate Cancer.

Miyeong PARK 1 ; Sang Ho JEONG ; Young Joon LEE ; Ji Ho PARK ; Sang Kyung CHOI ; Soon Chan HONG ; Eun Jung JUNG ; Young tae JU ; Chi Young JEONG ; Jeong Hee LEE ; Woo Song HA

Affiliations

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Keywords

Stomach neoplasms; Prostatic neoplasms; Lymphatic metastasis; Lymph nodes

Country

Republic of Korea

Language

English

Abstract

An 84-year-old man was diagnosed with two synchronous adenocarcinomas, a Borrmann type IV advanced gastric adenocarcinoma in his antrum and a well-differentiated Borrmann type I carcinoma on the anterior wall of the higher body of his stomach. Pre-operatively, computed tomography of the abdomen revealed the presence of advanced gastric cancer with peri-gastric and para-aortic lymph node (LN) metastasis. He planned for palliative total gastrectomy owing to the risk of obstruction by the antral lesion. We performed a frozen biopsy of a para-aortic LN during surgery and found that the origin of the para-aortic LN metastasis was from undiagnosed prostate cancer. Thus, we performed radical total gastrectomy and D2 LN dissection. Post-operatively, his total prostate-specific antigen levels were high (227 ng/mL) and he was discharged 8 days after surgery without any complications.