Document Detail


An indolent diffuse infiltrating gastric carcinoma.
MedLine Citation:
PMID:  20730388     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gastric cancer is a common gastrointestinal cancer and is an important cause of cancer mortality. Unfortunately, it is often diagnosed late due to delayed presentation. We report the case of a 48-year-old man who was diagnosed with diffuse infiltrating gastric adenocarcinoma and who had initially declined surgery. The patient presented again the following year, and the repeat evaluations showed similar findings. Despite this, the patient continued to decline interventions. Six years later, as his symptoms increased, the patient finally underwent surgery. Histology revealed a diffuse infiltrating stage T3 tumour, with significant desmoplastic reaction and negative lymphadenopathies. Seven years after the surgery, the patient remained well and recurrence-free. This case highlights that some cancers have an indolent course, and even with significant delay, curative interventions can still be performed.
Authors:
V H Chong; P U Telisinghe; S K Yapp
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  51     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-08-23     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  e126-8     Citation Subset:  IM    
Affiliation:
Gastroenterology Unit, Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, BA 1710, Brunei Darussalam. chongvuih@yahoo.co.uk
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / pathology*,  surgery
Biopsy, Needle
Follow-Up Studies
Gastrectomy / methods
Gastric Mucosa / pathology
Gastroscopy / methods
Humans
Immunohistochemistry
Male
Middle Aged
Neoplasm Invasiveness / pathology*
Neoplasm Staging
Risk Assessment
Stomach Neoplasms / pathology*,  surgery
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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