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Cancer Stories
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A 58-year-old man was evaluated for upper-abdominal pain and found to have a Borrmann type II gastric cancer in the antrum together with a separate small lesion in the upper stomach. CT showed thickening from the antral tumor but no nodal or distant metastases.
The upper-stomach lesion was removed endoscopically first and proved to be a different fundic-gland-type gastric adenocarcinoma. The antral cancer still required surgical resection. Because the patient also had diffuse heterotopic gastric glands throughout the stomach and concern for additional gastric cancers, he chose total gastrectomy rather than a smaller partial resection.
Pathology of the gastrectomy specimen showed a 4-cm poorly differentiated adenocarcinoma in the antrum extending into the subserosal layer. No lymph-node involvement was found. The specimen also revealed a third small intramucosal gastric cancer elsewhere in the stomach.
This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full
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