A CASE OF GASTRIC SMALL CELL CARCINOMA

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  • 胃小細胞癌の１例

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Abstract

Small cell carcinoma of the stomach is a very rare neoplasm, and this tumor has an aggressive feature with a poor prognosis. In this report we present a case of a patient with a small cell carcinoma of the stomach. A 63-year-old male was referred to our hospital with complaint of sensation of food sticking at swallowing. Upper gastrointestinal X-ray examinations and endoscopic examinations revealed a giant ulcerative tumor at the cardia of the stomach. Biopsy specimens were diagnosed as small cell carcinoma. Abdominal CT scan revealed a metastatic lymph node, 40×45mm in size, along the lesser curvature of the stomach. The gastric cancer showed T3, N1, M0, and was in Stage IIIA. Total gastrectomy was conducted with lymph node dissection (T3, int, INFγ, ly3, v2, pN1). Adjuvant chemotherapy using Cisplatin and Etoposide was performed. However, multiple liver metastases were detected ten months after the operation. Although chemotherapy using CPT-11 and Cisplatin was immediately performed, the metastatic lesions grew gradually and he passed away 14 months after surgery.

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