Abstract
We report the findings for a 78-year-old woman. The patient had gastric cancer and was referred to our hospital for further evaluation and operation. She was diagnosed with type 0-IIc early gastric cancer at the greater curvature of the gastric antrum by endoscopic examination. Chest CT showed swollen hilar lymph nodes and mediastinal lymph nodes. Abdominal CT showed swollen lymph nodes around the common hepatic artery and around the abdominal aorta. The patient underwent distal gastrectomy with D1+ lymph node dissection and lymph node biopsy. Postoperative pathological examination indicated signet-ring cell carcinoma that was limited within the submucosa. No metastasis was observed, but numerous epithelioid cell granulomas were observed in all the dissected lymph nodes. After operation, the patient was diagnosed with sarcoidosis, on the basis of the relevant diagnostic criteria. We report a case of early gastric cancer with sarcoidosis.
The woman is currently doing well and has showed no recurrence 18 months after surgery.
