Two resected cases of extragastric gastric cancer growth with gastrocolic fistula
Kashiwagi, S.; Teraoka, H.; Ohira, G.; Shibutani, M.; Sakashita, K.; Kanehara, I.; Tamamori, Y.; Nitta, A.; Hirakawa, K.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 38(12): 2125-2127
2011
ISSN/ISBN: 0385-0684 PMID: 22202304 Document Number: 651072
We report two resected cases of extragastric gastric cancer growth with gastrocolic fistula whose prognoses were fairly good with surgery and chemotherapy. CASE 1: A 45-year-old man was admitted to a nearby clinic complaining of fever and abdominal pain. Endoscopy revealed gastric mucosa-associated white moss under tumor-like lesions to the mucous cancer biopsy results. The patient underwent surgery; the transverse colon had adhered to the posterior wall of the stomach, so a distal gastrectomy and a partial resection of the transverse colon were performed. He enjoyed a good QOL for 56 months after the surgery. CASE 2: A 69-year-old man. An upper GI examination revealed a protrusion at the posterior wall of the stomach, and the barium leaked from the lesion to the colon. Diagnosis of stomach cancer surgery took place. He died 20 months after the surgery.