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A 58-year-old man developed indigestion and unintentional weight loss. Endoscopy and biopsy confirmed gastric adenocarcinoma. He received 4 cycles of FOLFOX chemotherapy before surgery and tolerated treatment without major complications.
Preoperative imaging showed an unusual blood vessel: the left hepatic artery, which supplies part of the liver, arose from the left gastric artery rather than following the usual anatomy. This made careful surgical planning especially important.
He underwent total gastrectomy with lymph-node removal. During surgery, the team confirmed the large abnormal artery and preserved it while completing the cancer operation. The tumor was attached to nearby structures but did not directly invade them.
Final pathology showed poorly differentiated gastric adenocarcinoma, with cancer found in 8 of 39 removed lymph nodes and clear surgical margins.
His postoperative recovery was uncomplicated. Liver function remained normal, he gradually resumed eating, and he was discharged in stable condition on the ninth day after surgery.
This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full
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These are lay summaries of published cancer stories, for information only. No two cancers behave the same way, and nothing here predicts your own diagnosis or replaces advice from your oncology team. Read the full disclaimer