Stage III gastric carcinosarcoma treated with surgery

This gastric cancer diagnosis at a glance

Stage at diagnosis
Stage III
Subtype
Adenocarcinoma
Sex
male
Treatment
surgery
Outcome
In Memory

Treatment course, step by step

  1. Laparoscopic proximal gastrectomy with esophagogastrostomy was performed.

What happened, in summary

A 75-year-old man was admitted in May 2013 after a month of upper-abdominal pain with black stools and fatigue. He had lost 10 kg over 6 months. Endoscopy showed a 5-cm invasive, ulcerated tumor near the gastric cardia, and biopsy supported gastric cancer. Imaging showed enlarged nearby lymph nodes but no metastases to other organs.

He underwent laparoscopic proximal gastrectomy with esophagogastrostomy. Pathology revealed a rare gastric carcinosarcoma containing both well-differentiated adenocarcinoma and fibrosarcoma components. The tumor had infiltrated all layers of the stomach, and metastases involving both components were found in 5 of 15 lymph nodes. The cancer was Stage III.

He was discharged from hospital on postoperative day 15 in good condition. His subsequent course was short. One month after the operation, he died from cachexia and asphyxia caused by gastroesophageal reflux.

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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