A Case of Advanced Gastric Cancer with Para-Aortic Lymph Node Metastasis from Co-Occurring Prostate Cancer.
- Author:
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
Author Information
- Publication Type:Original Article
- Keywords: Stomach neoplasms; Prostatic neoplasms; Lymphatic metastasis; Lymph nodes
- MeSH: Abdomen; Adenocarcinoma; Aged, 80 and over; Biopsy; Gastrectomy; Humans; Lymph Nodes*; Lymphatic Metastasis; Neoplasm Metastasis*; Prostate*; Prostate-Specific Antigen; Prostatic Neoplasms*; Stomach; Stomach Neoplasms*
- From:Journal of Gastric Cancer 2017;17(1):93-97
- CountryRepublic 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.
