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KMID : 0390320120220020061
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Chungbuk Medical Journal
2012 Volume.22 No. 2 p.61 ~ p.66
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Para-aortic node dissection in gastric cancer: leptomeningeal metastasis
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Yun Hyo-Yung
Song Young-Jin
Ryu Dong-Hee
Kim Dae-Hoon
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Abstract
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Because of major postoperative complications, para-aortic lymph node(PALN) dissection is not routinely performed in gastric cancer. According to the TNM classification, involvement of PALN is classified as distant metastasis and it is difficult to control the progression of disease without surgical intervention. Leptomeningeal carcinomatosis associated with gastric cancer is rare. The most common causes of leptomeningeal carcinomatosis are breast cancer, lung cancer and malignant melanoma. A 32-year-old gastric cancer patient with PALN involvement admitted to our hospital and had total gastrectomy, splenectomy and distal pancreatectomy with PALN dissection. Having chemotherapy with taxol and cisplatin, she complained headache and seizure. Measurement of tumor markers in the cerebrospinal fluid and brain MRI, which revealed metastatic leptomeningeal carcinomatosis. Herein, we have reported our experience with metastatic leptomeningeal carcinomatosis after PALN dissection in far advanced gastric cancer.
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KEYWORD
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Para-aortic node dissection, Gastric cancer, Total gastrectomy, Metastatic leptomeningeal carcinomatosis
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