title: [Three Cases of Gastric Cancer with Rare Presentation of Oncologic Emergency].
abstract: We report 3 cases of gastric cancer with rare presentations of oncologic emergency. Case 1 involved cardiac tamponade caused by mediastinitis-induced pericarditis. Metastatic lymph nodes became enlarged after total gastrectomy and invaded the esophagojejunal anastomotic region. Then, a fistula to the mediastinum occurred, resulting in mediastinitis. The drainage was efficacious, but the patient died of cancer 1 month after admission. Case 2 involved cardiac tamponade caused by invasion of metastatic peritoneal tumor into the pericardium. The drainage was successful, but the patient died of cancer 2 weeks after drainage. Case 3 involved perforation of the stomach during the third course of chemotherapy. A total gastrectomy was urgently performed. Thereafter, chemotherapy was continued. However, the patient died of cancer 6 months later. These oncologic emergencies should be considered, although they are rare.
authors.affiliation: Dept. of Surgery, Nishinomiya Municipal Central Hospital.
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Oka
authors.forename: Kaoru
authors.initials: K
authors.lastname: Okada
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Miyake
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Ueshima
authors.forename: Naozumi
authors.initials: N
authors.lastname: Higaki
authors.forename: Hirohito
authors.initials: H
authors.lastname: Hayashida
authors.forename: Riichiro
authors.initials: R
authors.lastname: Nezu
mesh_terms: D000368:Aged; D002305:Cardiac Tamponade / Q000209:etiology*; D004322:Drainage; D017809:Fatal Outcome; D005260:Female; D005402:Fistula / Q000209:etiology; D005743:Gastrectomy; D006801:Humans; D009361:Neoplasm Invasiveness; D013274:Stomach Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery