title: Gastric Cancer with Peritoneal Tuberculosis: Challenges in Diagnosis and Treatment.
abstract: Herein, we report a 39-year-old female patient presenting with gastric cancer and tuberculous peritonitis. The differential diagnosis between advanced gastric cancer with peritoneal carcinomatosis and early gastric cancer with peritoneal tuberculosis (TB), and the treatment of these two diseases, were challenging in this case. Physicians should have a high index of suspicion for peritoneal TB if the patient has a history of this disease, especially in areas with a high incidence of TB, such as South Korea. An early diagnosis is critical for patient management and prognosis. A surgical approach including tissue biopsy or laparoscopic exploration is recommended to confirm the diagnosis.
authors.affiliation: Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.; Department of Surgery, Security Forces Hospital, Riyadh, Saudi Arabia.
authors.forename: Amer Saeed
authors.initials: AS
authors.lastname: Alshahrani
authors.affiliation: Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
authors.forename: In Seob
authors.initials: IS
authors.lastname: Lee
keywords: Peritoneal carcinomatosis; Stomach neoplasms; Tuberculous peritonitis