Gastric cancer with a giant lymph node metastasis: a case report and review of the literature
A 78-year-old man presented with a large abdominal mass detected by ultrasonography during a regular checkup. Even if the mass was > 10 cm in diameter, he was asymptomatic. Computed tomography detected an oval-shaped mass, with a maximum diameter of 12 cm, adjacent to the greater curvature of the...
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| Veröffentlicht in: | Clinical journal of gastroenterology 2023-06, Vol.16 (3), p.336-343 |
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| container_title | Clinical journal of gastroenterology |
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| creator | Matsumoto, Chihiro Enomoto, Naoki Yamada, Kazuhiko Kato, Daiki Yagi, Shusuke Nohara, Kyoko Kokudo, Norihiro Misumi, Kento Igari, Toru |
| description | A 78-year-old man presented with a large abdominal mass detected by ultrasonography during a regular checkup. Even if the mass was > 10 cm in diameter, he was asymptomatic. Computed tomography detected an oval-shaped mass, with a maximum diameter of 12 cm, adjacent to the greater curvature of the stomach. Esophagogastroduodenoscopy revealed a 20 mm slightly depressed (type 0-IIc) lesion on the posterior wall of the gastric antrum, which was confirmed to be adenocarcinoma. Three cycles of combination chemotherapy with S-1 and oxaliplatin were administered as neoadjuvant chemotherapy. After neoadjuvant chemotherapy, the patient underwent distal gastrectomy, and a histopathological study identified the 12 cm giant mass as a lymph node metastasis. The postoperative course was uneventful, and thus far, the patient has completed adjuvant chemotherapy without relapse. Cases of gastric cancer with a giant lymph node metastasis are extremely rare. In this study, we report the present case and review the previous literature. |
| doi_str_mv | 10.1007/s12328-023-01786-x |
| format | Article |
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Even if the mass was > 10 cm in diameter, he was asymptomatic. Computed tomography detected an oval-shaped mass, with a maximum diameter of 12 cm, adjacent to the greater curvature of the stomach. Esophagogastroduodenoscopy revealed a 20 mm slightly depressed (type 0-IIc) lesion on the posterior wall of the gastric antrum, which was confirmed to be adenocarcinoma. Three cycles of combination chemotherapy with S-1 and oxaliplatin were administered as neoadjuvant chemotherapy. After neoadjuvant chemotherapy, the patient underwent distal gastrectomy, and a histopathological study identified the 12 cm giant mass as a lymph node metastasis. The postoperative course was uneventful, and thus far, the patient has completed adjuvant chemotherapy without relapse. Cases of gastric cancer with a giant lymph node metastasis are extremely rare. 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In this study, we report the present case and review the previous literature.</description><subject>Abdominal Surgery</subject><subject>Aged</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Case Report</subject><subject>Colorectal Surgery</subject><subject>Gastrectomy</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Lymph Nodes - diagnostic imaging</subject><subject>Lymph Nodes - pathology</subject><subject>Lymphatic Metastasis - pathology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Stomach Neoplasms - pathology</subject><subject>Surgical Oncology</subject><issn>1865-7257</issn><issn>1865-7265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS0EolD4ARbISzYBP5I4ZYcQFCQkNrBE1sSetKnyKLZD27_HEGDJakaac680h5Azzi45Y-rKcyFFkTAhE8ZVkSfbPXLEizxLlMiz_b89UxNy7P2KsVwwJQ_JROazPC1UcUTe5uCDqw010Bl0dFOHJQW6qKELtNm16yXteou0xRBB8LW_jmcDHqnDde8Chc7G9aPGDe0rGpZImzqggzA4PCEHFTQeT3_mlLze373cPiRPz_PH25unxEjFQwKVAOSpVKxSCqSpmE1BAtjMpsyUGKmSKVVwYYBxLLOSZYZBZa0sUoNWTsnF2Lt2_fuAPui29gabBjrsB6-FmnGp0ozPIipG1Ljee4eVXru6BbfTnOkvrXrUqqNW_a1Vb2Po_Kd_KFu0f5FfjxGQI-DjqVug06t-cF38-b_aTwX1hSs</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Matsumoto, Chihiro</creator><creator>Enomoto, Naoki</creator><creator>Yamada, Kazuhiko</creator><creator>Kato, Daiki</creator><creator>Yagi, Shusuke</creator><creator>Nohara, Kyoko</creator><creator>Kokudo, Norihiro</creator><creator>Misumi, Kento</creator><creator>Igari, Toru</creator><general>Springer Nature Singapore</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7234-4844</orcidid></search><sort><creationdate>20230601</creationdate><title>Gastric cancer with a giant lymph node metastasis: a case report and review of the literature</title><author>Matsumoto, Chihiro ; 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| subjects | Abdominal Surgery Aged Antineoplastic Combined Chemotherapy Protocols - therapeutic use Case Report Colorectal Surgery Gastrectomy Gastroenterology Hepatology Humans Lymph Nodes - diagnostic imaging Lymph Nodes - pathology Lymphatic Metastasis - pathology Male Medicine Medicine & Public Health Neoplasm Recurrence, Local - pathology Stomach Neoplasms - pathology Surgical Oncology |
| title | Gastric cancer with a giant lymph node metastasis: a case report and review of the literature |
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