title: [A case of gastric lymphoepithelioma-like carcinoma presenting as panperitonitis by perforation of stomach].
abstract: Gastric lymphoepithelioma-like carcinoma is a rare carcinoma among gastric malignant tumor but has a good prognosis. The carcinoma has histologic feature characterized by small nest of cancer cells mixed with lymphoid stroma. We report a case with lymphoepithelioma-like carcinoma of stomach initially presenting as panperitonitis because of spontaneous tumor perforation. A 56-year-old man visited our emergency room because of epigastric pain. A preoperative abdominal CT scan showed a massive pneumoperitoneum in the upper abdomen, and the presence of gastric cancer in the lesser curvature of the stomach. An emergent laparotomy was performed followed by radical subtotal gastrectomy. Pathologic examination revealed that the tumor was a lymphoepithelioma-like gastric carcinoma.
authors: Department of Internal Medicine, School of Medicine, Chungnam National University, Daejeon, Korea.
authors: Pyung Gohn
authors: PG
authors: Goh
authors: Eui Sik
authors: ES
authors: Kim
authors: Yun Jeung
authors: YJ
authors: Kim
authors: Soo Youn
authors: SY
authors: Lee
authors: Hee Seok
authors: HS
authors: Moon
authors: Seok Hyun
authors: SH
authors: Kim
authors: Byung Seok
authors: BS
authors: Lee
authors: Hyun Yong
authors: HY
authors: Jeong
mesh_terms: D002277:Carcinoma / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D003131:Combined Modality Therapy; D006801:Humans; D008223:Lymphoma / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D012422:Rupture, Spontaneous; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D013275:Stomach Rupture / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed