Early-stage intestinal-type gastric adenocarcinoma as an incidental finding: case report and review of literature
DOI:
https://doi.org/10.18203/2320-6012.ijrms20231359Keywords:
Gastric cancer, Pain abdominal, Biopsy, GastrectomyAbstract
Gastric cancer is the malignant neoplasm in which gastric resection is the only viable strategy for long-term survival. Gastric carcinoma typically does not produce symptoms, therefore presenting as either advance or metastatic disease at the time of diagnosis. The most common early symptoms tend to be abdominal pain and weight loss. Adequate surgical resection is the only curative therapeutic option in patients with resectable gastric cancer. We present the case of a 66-year-old male patient who initially presented with abdominal pain and one episode of gastrointestinal bleeding, for which an endoscopic biopsy was conducted which reported intestinal-type gastric adenocarcinoma. Subtotal gastrectomy with Billroth II anastomosis was then performed without reported complications. Patient remains asymptomatic 3 months following the surgical intervention in surveillance with ambulatory care.
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Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71:209–49.
Marsh AM, Buicko JL. Resección Gástrica. StatPearls. Treasure Island (FL); 2022 ene.
Martin AN, Das D, Turrentine FE, Bauer TW, Adams RB, Zaydfudim VM. Morbilidad y Mortalidad Posterior a Gastrectomía: Identificación de Factores de Riesgo Modificables. J Cirugía Gastrointestinal. 2016;20(9):1554-64.
Wiggins CL, Becker TM, Key CR, Samet JM. Stomach cancer among New Mexico's American Indians, Hispanic whites, and non-Hispanic whites. Cancer Res. 1989;49:1595-9.
Rawla P, Barsouk A. Epidemiología del cáncer gástrico: tendencias globales, factores de riesgo y prevención. Prz Gastroenterol. 2019;14(1):26-38.
Tominaga S. Trends in cancer mortality, incidence and survival in Japan. Gan To Kagaku Ryoho 1992;19:1113-20.
Fuchs CS, Mayer RJ. Gastric carcinoma. N Engl J Med. 1995;333(1):32-41.
Brenkman HJ, Correa-Cote J, Ruurda JP, van Hillegersberg R. Un enfoque paso a paso para la gastrectomía laparoscópica total con reconstrucción de la bolsa yeyunal: cómo y por qué lo hacemos. J Cirugía Gastrointestinal. 2016;20(11):1908-15.
Rodríguez-Quintero JH, Aguilar-Frasco J, Morales-Maza J. Predictors of anastomotic leak after total gastrectomy in patients with adenocarcinoma. Cir Cir. 2022;90(2):216-22.
Santoro R, Ettorre GM, Santoro E. Subtotal gastrectomy for gastric cancer. World J Gastroenterol. 2014;20(38):13667-80.
Gholami S, Cassidy MR, Strong VE. Abordajes quirúrgicos mínimamente invasivos para la resección gástrica. Surg Clin North Am. 2017;97(2):249-64.
Muñoz N, Correa P, Cuello C, Duque E. Histologic types of gastric carcinoma in high- and low-risk areas. Int J Cancer. 1968;3:809-18.
Haenszel W. Variation in incidence of and mortality from stomach cancer, with particular reference to the United States. J Natl Cancer Inst. 1958;21:213-62.
Qi J, Zhang P, Wang Y, Chen H, Li Y. Does Total Gastrectomy Provide Better Outcomes than Distal Subtotal Gastrectomy for Distal Gastric Cancer? A Systematic Review and Meta-Analysis. PLoS ONE. 2016;11(10):e0165179.
Ito S, Masuda T, Noda M, Hu Q, Shimizu D, Kuroda Y, et al. Prognostic significance of PD-1, PD-L1 and CD8 gene expression levels in gastric cancer. Oncology. 2020;98:501–11.
Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2014. Gastric Cancer. 2017;20:1–19.
Clark CJ, Thirlby RC, Picozzi V, Schembre DB, Cummings FP, Lin E. Current problems in surgery: Gastric cancer. Curr Probl Surg. 2006;43:566–670.
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