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KMID : 1141820170170010093
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Journal of Gastric Cancer
2017 Volume.17 No. 1 p.93 ~ p.97
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A Case of Advanced Gastric Cancer with Para-Aortic Lymph Node Metastasis from Co-Occurring Prostate Cancer
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Park Mi-Yeong
Jeong Sang-Ho
Lee Young-Joon
Park Ji-Ho
Choi Sang-Kyung
Hong Soon-Chan
Jung Eun-Jung
Jeong Chi-Young
Lee Jeong-Hee
Ha Woo-Song
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Abstract
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An 84-year-old man was diagnosed with two synchronous adenocarcinomas, a Borrmann type IV advanced gastric adenocarcinoma in his antrum and a well-differentiated Borrmann type I carcinoma on the anterior wall of the higher body of his stomach. Pre-operatively, computed tomography of the abdomen revealed the presence of advanced gastric cancer with peri-gastric and para-aortic lymph node (LN) metastasis. He planned for palliative total gastrectomy owing to the risk of obstruction by the antral lesion. We performed a frozen biopsy of a para-aortic LN during surgery and found that the origin of the para-aortic LN metastasis was from undiagnosed prostate cancer. Thus, we performed radical total gastrectomy and D2 LN dissection. Post-operatively, his total prostate-specific antigen levels were high (227 ng/mL) and he was discharged 8 days after surgery without any complications.
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KEYWORD
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Stomach neoplasms, Prostatic neoplasms, Lymphatic metastasis, Lymph nodes
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