A Case of Advanced Gastric Cancer with Para-Aortic Lymph Node Metastasis from Co-Occurring Prostate Cancer.
An 84-year-old man was diagnosed with two synchronous adenocarcinomas, a Borrmann type IV advanced gastric adenocarcinoma in his antrum and a well-differentiated Borrmann type I carcinoma on the anterior wall of the higher body of his stomach. Pre-operatively, computed tomography of the abdomen revealed the presence of advanced gastric cancer with peri-gastric and para-aortic lymph node (LN) metastasis. He planned for palliative total gastrectomy owing to the risk of obstruction by the antral lesion. We performed a frozen biopsy of a para-aortic LN during surgery and found that the origin of the para-aortic LN metastasis was from undiagnosed prostate cancer. Thus, we performed radical total gastrectomy and D2 LN dissection. Post-operatively, his total prostate-specific antigen levels were high (227 ng/mL) and he was discharged 8 days after surgery without any complications.
Department of Anesthesiology, Gyeongsang National University School of Medicine, Jinju, Korea .
Miyeong
M
Park
Department of Surgery, Gyeongsang National University School of Medicine, Jinju, Korea .
Sang-Ho
SH
Jeong
Department of Surgery, Gyeongsang National University School of Medicine, Jinju, Korea .
Young-Joon
YJ
Lee
Department of Surgery, Gyeongsang National University School of Medicine, Jinju, Korea .
Ji-Ho
JH
Park
Department of Surgery, Gyeongsang National University School of Medicine, Jinju, Korea .
Sang-Kyung
SK
Choi
Department of Surgery, Gyeongsang National University School of Medicine, Jinju, Korea .
Soon-Chan
SC
Hong
Department of Surgery, Gyeongsang National University School of Medicine, Jinju, Korea .
Eun-Jung
EJ
Jung
Department of Surgery, Gyeongsang National University School of Medicine, Jinju, Korea .
Young-Tae
YT
Ju
Department of Surgery, Gyeongsang National University School of Medicine, Jinju, Korea .
Chi-Young
CY
Jeong
Department of Pathology, Gyeongsang National University School of Medicine, Jinju, Korea .
Jeong-Hee
JH
Lee
Department of Surgery, Gyeongsang National University School of Medicine, Jinju, Korea .
Woo-Song
WS
Ha
Lymph nodes; Lymphatic metastasis; Prostatic neoplasms; Stomach neoplasms