Antral gastric adenocarcinoma treated with total gastrectomy in a man with multiple gastric cancers

This gastric cancer diagnosis at a glance

Subtype
Adenocarcinoma
Sex
Male
Treatment
surgery

Treatment course, step by step

  1. Underwent total gastrectomy for the antral gastric cancer after a separate fundic-gland-type lesion had been removed endoscopically.

What happened, in summary

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.

Where this story comes from

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

How we source and attribute stories Accuracy and limitations

Collections this story belongs to

Similar gastric cancer stories

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

Search more gastric cancer stories