Early gastric adenocarcinoma found with Strongyloides infection in the stomach and duodenum

This gastric cancer diagnosis at a glance

Subtype
Adenocarcinoma
Sex
Male
Treatment
surgery

Treatment course, step by step

  1. Underwent subtotal gastrectomy with lymph-node dissection.
  2. Received 7 days of albendazole for Strongyloides infection after postoperative fever developed.

What happened, in summary

An 81-year-old man presented with 3 months of weight loss, poor oral intake and abdominal discomfort. Endoscopy showed a small suspicious lesion in the gastric antrum. Biopsy found gastric adenocarcinoma as well as Strongyloides parasites in the gastric tissue.

One month later, he underwent subtotal gastrectomy with lymph-node dissection. Pathology showed moderately differentiated adenocarcinoma confined to the mucosa, confined to the mucosa with no lymph-node metastasis, together with a separate tubular adenoma. Strongyloides eggs, larvae and adult worms were also found in gastric and duodenal tissue.

After surgery, persistent fever developed. He received 7 days of albendazole for the parasitic infection, after which the fever improved and inflammatory markers returned to normal. Follow-up through 4 months after surgery showed no observable abnormalities.

Where this story comes from

This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full

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