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A 60-year-old woman was referred for treatment of an early gastric cancer. Endoscopy showed a 2-cm depressed ulcerated lesion in the lower stomach, and biopsy diagnosed signet-ring cell carcinoma. CT showed no lymph-node or distant metastases, and the cancer was classified as clinical Stage I.
Preoperative imaging also identified unusual gastric and hepatic blood vessels that could increase surgical risk if divided routinely. Surgeons therefore planned the lymph-node dissection to preserve an important aberrant hepatic artery while still removing the gastric cancer. She underwent laparoscopy-assisted distal gastrectomy with D1+ lymph-node dissection and Billroth I reconstruction.
Pathology showed that the cancer was confined to the mucosa and none of the 30 removed lymph nodes contained metastasis, confirming pathological Stage I. Recovery was uncomplicated, and she was discharged on postoperative day 10. At 6 months after surgery, she remained without recurrence.
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