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A 42-year-old man with situs inversus totalis had an early gastric adenocarcinoma removed by endoscopic submucosal dissection. Pathology showed a moderately differentiated tumor extending into the submucosa with lymphatic invasion. Because lymphatic invasion increased the risk of lymph-node spread, additional surgery was recommended.
Preoperative imaging showed the mirror-image arrangement of his organs and no distant metastases. The cancer was Stage I before surgery. He underwent laparoscopic-assisted distal gastrectomy with D1+ lymph-node dissection.
Final pathology showed one involved regional lymph node and Stage I disease. At 18 months after surgery, he was doing well without recurrent gastric cancer.
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