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A Case of Advanced Gastric Cancer with Para-Aortic Lymph Node Metastasis from Co-Occurring Prostate Cancer

  • Park, Miyeong (Department of Anesthesiology, Gyeongsang National University School of Medicine) ;
  • Jeong, Sang-Ho (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Lee, Young-Joon (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Park, Ji-Ho (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Choi, Sang-Kyung (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Hong, Soon-Chan (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Jung, Eun-Jung (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Ju, Young-tae (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Jeong, Chi-Young (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Lee, Jeong-Hee (Department of Pathology, Gyeongsang National University School of Medicine) ;
  • Ha, Woo-Song (Department of Surgery, Gyeongsang National University School of Medicine)
  • Received : 2016.10.10
  • Accepted : 2016.11.22
  • Published : 2017.03.31

Abstract

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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