RT Journal Article
SR Electronic
T1 Advanced Gastric Cancer With Intramural Abscess: A Case Report of a Rare Clinicopathological Condition
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 1998
OP 2001
DO 10.21873/invivo.12925
VO 36
IS 4
A1 OGINO, SHINPEI
A1 KOSUGA, TOSHIYUKI
A1 SHODA, KATSUTOSHI
A1 KUBOTA, TAKESHI
A1 OKAMOTO, KAZUMA
A1 OTSUJI, EIGO
YR 2022
UL http://iv.iiarjournals.org/content/36/4/1998.abstract
AB Background: Gastric wall abscess (GWA) itself is a rare clinicopathological condition, and there has been no report of primary gastric cancer complicated by GWA. Herein, we present a case of advanced gastric cancer with intramural abscess, which was successfully treated with curative gastrectomy. Case Report: A 77-year-old woman was admitted to the hospital for dull epigastric pain with inflammatory findings and diagnosed with advanced gastric cancer (cT4aN1M0 Stage III) with intramural abscess. Since an endoscopic ultrasonography-guided abscess drainage was not effective, after conservative therapy with antibiotics, she underwent distal gastrectomy with D2 lymphadenectomy and fortunately the tumor with abscess was safely and curatively removed without perforation. Microscopically, the 82×65 mm tumor invaded the subserosa and contained tubular adenocarcinoma with neuroendocrine cell carcinoma (pT3N0M0 Stage IIB), and the abscess formed from the ulcerative lesion of the cancer extended to the subserosa. The postoperative clinical course was uneventful, and she remained disease-free during the 22 months follow-up. Conclusion: Given the nature of the disease and the difficulty in endoscopic treatment, gastrectomy should be performed immediately for advanced gastric cancer with GWA to ensure control of both gastric cancer and infection.