Gastric Cancer with Multiple Lymph Node Enlargement at the Time of the Sarcoidosis Diagnosis
| Autor: | Mitsuya Kikuchi, Shinsuke Shibuya, Yasuyuki Tanaka, Yumi Tokubayashi, Hiroyuki Kokuryu, Toshihiro Kusaka, Shigehiko Fujii |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pathology
medicine.medical_specialty Sarcoidosis Case Report 030204 cardiovascular system & hematology sarcoid reaction Metastasis PAB antibody 03 medical and health sciences 0302 clinical medicine Paraaortic lymph nodes Gastrectomy Stomach Neoplasms Biopsy Internal Medicine Medicine Humans Propionibacterium acnes Lymph node Aged 80 and over medicine.diagnostic_test business.industry gastric cancer Cancer General Medicine medicine.disease medicine.anatomical_structure Lymphatic Metastasis Adenocarcinoma 030211 gastroenterology & hepatology Female Lymph Lymph Nodes business |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | An 80-year-old woman was found to have a 40-mm depressed-type gastric cancer. Computed tomography showed multiple lymph node enlargement, including paraaortic lymph nodes. The extent of lymph node enlargement was significant compared with the depth of the primary lesion. We conducted distal gastrectomy, D2 lymph node dissection, and a paraaortic lymph node biopsy. Microscopically, the tumor was diagnosed as mucosal cancer. In the dissected lymph nodes, noncaseating granuloma was found without metastasis of adenocarcinoma. Immunohistochemical staining using Propionibacterium acnes-specific antibodies showed a large number of P. acnes-positive cells in the granulomas. Finally, the tumor was diagnosed as early-stage gastric cancer and sarcoidosis. |
| Databáze: | OpenAIRE |
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