Locally Advanced Gastric Carcinoma: A Case Report

Abstract

A 70-year-old man was diagnosed as having gastric cancer at another hospital. In late January 2010, he developed hematemesis and was transferred to the emergency department of our hospital.

Clinical examination revealed the cause of the bleeding as rupture of a pseudoaneurysm in the periphery of the gastroduodenal artery.

Although the gastric cancer invaded the pancreaticoduodenum and transverse mesocolon, there was no distant metastasis, and we performed emergency pancreaticoduodenectomy and right hemicolectomy. The histopathological diagnosis was U circumferential, type 5, 100 × 147 mm, adenocarcinoma (tub2>por2), pT4b (duodenum, pancreas), INFb, ly1, v1, pN3c (13/40), pStageⅢc.