title: Gastric carcinoma with protein-losing gastroenteropathy: report of a case.
abstract: This report describes the successful treatment of a case of true gastric cancer presenting as protein-losing gastroenteropathy. A 58-year-old Japanese male presented gastric carcinoma. His serum albumin and total protein levels were 1.8 and 4.2 g/dl, respectively. He was diagnosed with gastric cancer with protein-losing gastroenteropathy based on (99m)Tc-human serum albumin scintigraphy. The patient underwent a total gastrectomy following neoadjuvant chemotherapy. There are 23 detailed case reports of gastric carcinoma with protein-losing gastroenteropathy. Most of these cases had large villous or cauliflower-like gastric tumors that were defined as papillary or well differentiated adenocarcinoma. Gastric cancer with protein-losing gastroenteropathy is extremely rare, but it can easily be diagnosed if the villous or cauliflower-like features are well defined.
authors.affiliation: Department of Surgery, Hiroshima Red Cross Hospital and Atomic-Bomb Survivors Hospital, 1-9-6 Senda-machi, Naka-ku, Hiroshima 730-8619, Japan.
authors.forename: Manabu
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Ikuno
authors.initials: I
authors.lastname: Nishibuchi
authors.forename: Ayumi
authors.initials: A
authors.lastname: Matsuyama
authors.forename: Jin
authors.initials: J
authors.lastname: Okazaki
authors.forename: Tohru
authors.initials: T
authors.lastname: Utsunomiya
authors.forename: Shinichi
authors.initials: S
authors.lastname: Tsutsui
authors.forename: Megumu
authors.initials: M
authors.lastname: Fujiwara
authors.forename: Teruyoshi
authors.initials: T
authors.lastname: Ishida
mesh_terms: D002277:Carcinoma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011504:Protein-Losing Enteropathies / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*