TY - JOUR
T1 - A Case of Asynchronous Gallbladder Metastasis from Gastric Cancer Diagnosed after Laparoscopic Cholecystectomy
AU - Sugimoto, Ryoma
AU - Kakiuchi, Yoshihiko
AU - Kuroda, Shinji
AU - Kikuchi, Satoru
AU - Syoji, Ryohei
AU - Nishida, Kenji
AU - Nishizaki, Masahiko
AU - Kagawa, Shunsuke
AU - Fujiwara, Toshiyoshi
N1 - Publisher Copyright:
© 2021. The Japanese Society of Gastroenterological Surgery.
PY - 2021
Y1 - 2021
N2 - A 77-year-old man was diagnosed with gastric cancer and underwent robot-assisted total gastrectomy, D2 lymph node dissection, and Roux-en Y reconstruction. The histopathological diagnosis was pT4a (SE)N3aMO Stage IIIB. CEA showed a temporary increase after three courses, but postoperative adjuvant chemotherapy with S-1 was ended without recurrence, with this decision made based on normal tumor markers and CT. Acute cholangitis and gallbladder stones were observed 26 months after gastrectomy, and thus, laparoscopic cholecystectomy was performed following conservative treatment. There were no specific findings in the gallbladder in preoperative CT or intraoperatively, but postoperative histopathological diagnosis revealed that the gallbladder had many nodules of metastatic gastric cancer. Thus, this case is a rare example of gallbladder metastasis of gastric cancer.
AB - A 77-year-old man was diagnosed with gastric cancer and underwent robot-assisted total gastrectomy, D2 lymph node dissection, and Roux-en Y reconstruction. The histopathological diagnosis was pT4a (SE)N3aMO Stage IIIB. CEA showed a temporary increase after three courses, but postoperative adjuvant chemotherapy with S-1 was ended without recurrence, with this decision made based on normal tumor markers and CT. Acute cholangitis and gallbladder stones were observed 26 months after gastrectomy, and thus, laparoscopic cholecystectomy was performed following conservative treatment. There were no specific findings in the gallbladder in preoperative CT or intraoperatively, but postoperative histopathological diagnosis revealed that the gallbladder had many nodules of metastatic gastric cancer. Thus, this case is a rare example of gallbladder metastasis of gastric cancer.
KW - asynchronous
KW - gallbladder metastasis
KW - gastric cancer
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U2 - 10.5833/jjgs.2020.0140
DO - 10.5833/jjgs.2020.0140
M3 - Article
AN - SCOPUS:85121000425
SN - 0386-9768
VL - 54
SP - 788
EP - 794
JO - Japanese Journal of Gastroenterological Surgery
JF - Japanese Journal of Gastroenterological Surgery
IS - 11
ER -
