Stage III gastric sarcomatoid carcinoma treated with surgery and chemotherapy

This gastric cancer diagnosis at a glance

Stage at diagnosis
Stage III
Subtype
Adenocarcinoma
Sex
female
Treatment
surgery and chemotherapy

Treatment course, step by step

  1. Laparoscopy-assisted radical distal gastrectomy was performed.
  2. Three months later, systemic chemotherapy with oxaliplatin and tegafur was started.

What happened, in summary

A 54-year-old woman was admitted in July 2017 after 4 months of upper-abdominal pain that had recently worsened and was accompanied by black stools. Endoscopy found a 5-cm ulcerated tumor arising from the gastric antrum, and biopsy confirmed malignancy.

She underwent laparoscopy-assisted radical distal gastrectomy. Pathology showed a rare gastric sarcomatoid carcinoma containing both poorly differentiated adenocarcinoma and sarcomatoid spindle-cell components. The tumor had infiltrated through the stomach wall, and cancer was found in 5 of 16 lymph nodes. The gastric cancer was Stage III.

She recovered well enough to leave hospital on postoperative day 15. Three months later, systemic chemotherapy with oxaliplatin and tegafur was started. During telephone follow-up 3 years after surgery, she was still alive and described as healthy.

Where this story comes from

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

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