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A 76-year-old woman undergoing follow-up imaging after previous treatment for cervical cancer was found to have strong uptake in the stomach. Endoscopy revealed a 30-mm lesion in the gastric antrum, and biopsy showed well-differentiated adenocarcinoma. Imaging found no lymph-node or distant metastases, and the gastric cancer was classified as Stage I.
The same scans unexpectedly showed a right-sided Bochdalek diaphragmatic hernia, with part of the liver protruding into the chest. Surgeons planned laparoscopic treatment of the gastric cancer and evaluation of the hernia. She underwent laparoscopic distal gastrectomy with lymph-node dissection. The hernia was not repaired because the herniated liver was adherent to the remaining diaphragm, covered the defect and had remained stable on earlier imaging.
Her postoperative course was uncomplicated, and she was discharged after 14 days. At 3 months, she was well and remained asymptomatic.
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