A CASE OF EXTRAGASTRIC GROWTH TYPE GASTRIC CANCER

Abstract

First Department of Surgery, Kagawa Medical University A 67-year-old man was admitted to the hospital because of a palpable abdominal tumor. An infant head sized tumor was felt at the right side of the upper abdomen. On a blood analysis, anemia and an increase in CEA level (37.6ng/ml) were noted. Abdominal ultrasonography and a contrast-enhanced CT scan revealed a large cystic tumor, about 12cm in longer diameter with thickened wall. Gastric endoscopy revealed advanced gastric cancer, Borrmann type III, located lower anterior body of the stomach. Operation was carried out with a diagnosis of extragastric growth type carcinoma of the stomach. Subtotal gastrectomy with lymph node dissection (D3) and a partial resection of the transverse colon were performed. This type of gastric cancer is extremely rare, and its prognosis is very poor.