Fever as a first manifestation of advanced gastric adenosquamous carcinoma: A case report

被引：16

作者：

Ajoodhea, Harsha ^{[1
]}

Zhang, Ren-Chao ^{[1
]}

Xu, Xiao-Wu ^{[1
]}

Jin, Wei-Wei ^{[1
]}

Chen, Ke ^{[1
]}

He, Yong-Tao ^{[2
]}

Mou, Yi-Ping ^{[1
]}

机构：

[1] Zhejiang Univ, Sch Med, Dept Gen Surg, Sir Run Run Shaw Hosp, Hangzhou 310016, Zhejiang, Peoples R China

[2] Zhejiang Univ, Sch Med, Dept Pathol, Sir Run Run Shaw Hosp, Hangzhou 310016, Zhejiang, Peoples R China

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2014年 / 20卷 / 29期

关键词：

Gastric adenosquamous carcinoma; Advanced gastric cancer; Malignant tumor; Laparoscopic gastrectomy; Totally laparoscopic total gastrectomy; STOMACH; CANCER; PATIENT;

D O I：

10.3748/wjg.v20.i29.10193

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

100201 [内科学];

摘要：

Gastric adenosquamous carcinoma (ASC) is a rare type of gastric cancer. It is a mixed neoplasm, consisting of glandular cells and squamous cells. It is often diagnosed at an advanced stage, thus carrying a poor prognosis. We describe a case of a 73-year-old male, who presented with refractory fever and an intra-abdominal mass on imaging. He underwent a laparoscopic exploration followed by a successful totally laparoscopic total gastrectomy with D2 lymphadenectomy for gastric cancer. Postoperative pathology revealed primary gastric ASC (T4aN0M0). The patient received adjuvant radiotherapy and chemotherapy with S1 and is alive 20 mo after surgery without recurrence. This is the first case of advanced gastric ASC with fever as the initial presentation treated with totally laparoscopic total gastrectomy reported in the English literature. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.

引用

页码：10193 / 10201

页数：9

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