Abstract
A rare case of gastric cancer associated with pylemphraxis for tumor is reported. The case was a 63 year-old man who had been suffering from poor appetite and flatulence around July 1986, and was admitted to our hospital for operation in February 1987 because upper alimentary series revealed a gastric cancer. Preoperative abdominal ultrasonography, CT, and angiography indicated pylemphraxis for gastric cancer. Left upper abdominal total exenteration and removal of pylemphraxis for tumor carried out. He can recover his daily activities.
Pylemphraxis for tumor in gastric cancer is a rare disease and only 10 cases including this have been reported in Japan. The prognosis is poor. Today's advance in imaging diagnostic methods might increase the opportunity to encounter the disease, where active expanded excision might be essencial for improvement of prognosis.