[A case report of scirrhous gastric carcinoma diagnosed by staging laparoscopy].
The case is a sixty-something man with a complication of epigastric abdominal pain. X-ray and endoscopic examination of upper gastrointestinal tract showed a rigidity of the gastric wall and the presence of giant folds on gastric body and fornix. Scirrhous type of gastric cancer was suspected and gastric forceps biopsy was performed at many points under the retreated endoscopic examinations. However, the histologic findings revealed no malignant features. We performed staging laparoscopy, and by peritoneal washing cytology and biopsy of a nodule of abdominal wall, he was diagnosed with advanced gastric carcinoma with peritoneal dissemination. In conclusion, staging laparoscopy is one of the useful methods for diagnosis and determination of the management of scirrhous type gastric carcinoma.
Dept. of Surgery, Sakai Municipal Hospital.
Ryohei
R
Kawabata
Hiroshi
H
Imamura
Tomono
T
Kishimoto
Satoru
S
Munakata
Tameyoshi
T
Yamamoto
Hiroyoshi
H
Takemoto
Mutsumi
M
Fukunaga
Hiroki
H
Ohzato
Hiroshi
H
Furukawa
D002293:Adenocarcinoma, Scirrhous / Q000188:drug therapy / Q000473:pathology*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001706:Biopsy; D002945:Cisplatin / Q000627:therapeutic use; D004338:Drug Combinations; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009367:Neoplasm Staging; D010094:Oxonic Acid / Q000627:therapeutic use; D013274:Stomach Neoplasms / Q000188:drug therapy / Q000473:pathology*; D005641:Tegafur / Q000627:therapeutic use
D004338:Drug Combinations; C079198:S 1 (combination); D005641:Tegafur; D010094:Oxonic Acid; D002945:Cisplatin