Prevalence and importance of nodal micrometastasis in patients with gastric adenocarcinoma (original) (raw)
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Surgical support for gastric adenocarcinoma
Surgery is the main treatment for gastric adenocarcinoma. Surgical quality criteria depend on one hand on the resection quality and compliance of carcinologic rules, and on the other hand on measures allowing perioperative care optimization. Immunological nutrition is part of preoperative optimization. Anaesthesiologists have to maintain volemia in the limits allowing the best oxygen blood transport. Artificial ventilation has to limit as much as possible the pulmonary barotraumatism. Surgeons must know the rare indications of metastases resection. For becoming a recommendation, laparoscopic gastrectomy would require a large multicentric clinical trial.
Journal of visceral surgery, 2015
The signet ring cell histology is regarded as an independent predictor of poor prognosis in advanced gastric adenocarcinomas, but its biologic behavior in early gastric cancer remains highly controversial. Our objective was to compare the clinicopathological features and outcomes in patients undergoing curative resection between SRCs and non-SRCs histologic types of early gastric cancer. Clinicopathologic features and the overall survival rates of 334patients with early gastric cancer undergoing D2 curative resection from January 1994 to December 2008 were retrospectively reviewed and compared according to the histologic type. Clinicopathologic features were comparable between two groups, except age, ulcer findings and the presence of lymph node metastasis. The incidence of recurrence for SRCs group was significantly lower than that for non-SRCs group (10.4% vs 19.6%; P<0.05). The overall 5-year survival rate was 88.6% in all cases. The overall survival rate of patients in SRCs g...
[The value of radiotherapy in the treatment of aggressive and localised gastric lymphomas]
Cancer radiothérapie : journal de la Société française de radiothérapie oncologique, 2009
To evaluate the treatment results of localised aggressive gastric lymphomas with favourable prognosis using chemotherapy and radiotherapy. Between February 1993 and December 2004, nine patients with primary gastric high-grade lymphoma have been treated by the Lymphoma Committee of Sfax (Tunisia). The sex ratio was 1.5. The mean age was 44.9 years. Histological type was the large cell B lymphoma in 100% of the cases. Disease was stage I in eight cases and stage II in one case (Ann Arbor Classification). The treatment consisted in primary chemotherapy followed by radiotherapy of the stomach with or without regional nodes (40 Gy). After treatment, all patients had complete remission. With a mean follow-up of 55.7 months, one patient was lost to follow-up; the other patients were alive with complete remission. No major acute toxicities or late effects were found. Overall survival was 100% at five years. Chemotherapy associated with radiotherapy can be proposed to patients having localis...
Epidemiologycal profile of gastric carcinoma: retrospective study
International Journal of Innovation and Applied Studies, 2016
To evaluate the epidemiological characteristics of gastric adenocarcinoma, a retrospective study was conducted on cases admitted at the Hepato-Gastroenterology department at University Hospital, Avicene Rabat between 2000 and 2010 to supported gastric adenocarcinoma. A total of 197 cases was in registers. Male gender is most affected (63%). The average age of hospitalized patients was 56 ± 2.8 years with ends ranging from 22 to 90 years. The most observed clinical signs are usually: an alteration of general condition (20%), epigastralgia (19%), vomiting (16%), anemia (16%). Antral localization is the most dominant in 52% of cases. Tobacco use is 48%, this factor had a statistically highly significant association with gastric adenocarcinoma (χ2 = 83.5, p <0.001). Consumption of alcohol is involved in 42% of cases and not significantly to the development of gastric adenocarcinoma (χ2=102,7 ; p <0,001). The majority of patients (62%) were referred to the National Oncology Institute, 26% had surgery and 2% died.
Case Report Late Solitary Pancreatic Metastasis from Breast Cancer
International Journal of Advanced Research, 2020
Pancreatic metastases from another primary malignant tumors are rare. In this article, we present the case of breast cancer, which metastasizes to the pancreas. The patient has diagnosed as breast cancer four years ago.
[Gastrointestinal metastases of breast cancer: report of 2 cases]
The Pan African medical journal, 2013
Le cancer du sein est le cancer le plus fréquent chez la femme, notamment au Maroc, avec un taux de mortalité élevé. Les métastases gastrointestinales d'un carcinome canalaire du sein sont rares. Leur diagnostic est difficile du fait de la nature non spécifique des symptômes. Nous rapportons deux observations originales de métastases gastroduodénales d´un cancer canalaire infiltrant du sein. Les métastases gastrointestinales du cancer du sein sont très rares ; la présence de symptômes gastro-intestinaux chez une malade ayant un antécédent de cancer du sein doit faire suspecter une atteinte métastatique gastro-intestinale.
Cancer du sein et cancer gastrique: association ou métastase ? Une observation à Bamako
Journal Africain Du Cancer / African Journal of Cancer, 2010
Les associations cancer gastrique et cancer mammaire sont rares. La détermination du caractère secondaire du cancer gastrique reste difficile en Afrique. Nous rapportons l’observation d’une femme de 53 ans qui a présenté, 16 mois après l’apparition d’une tumeur du sein, des vomissements, une perte de poids, une anémie avec altération de l’état général. L’examen a retrouvé une tumeur inflammatoire occupant tout le sein droit et des adénopathies axillaires homolatérales, une douleur provoquée à l’épigastre. Les examens histologiques nous ont permis de conclure à une linite gastrique associée à un carcinome intracanalaire du sein. La patiente a été traitée avec le tamoxifène, la survie a été de trois mois. Les associations cancer gastrique et cancer mammaire ne sont pas à méconnaître. Des examens approfondis doivent être effectués pour déterminer le caractère primitif ou secondaire du cancer gastrique. Association of gastric cancer and breast cancer is rare. The determination of the secondary character of gastric cancer remains difficult in Africa. We report the observation of a 53-year-old woman who presented with vomiting, weight loss, and anemia 16 months after the appearance of breast tumor. The examination found an inflammatory tumor in the right breast and right axillaries nodes, with abdominal pain. After histological examinations we concluded gastric linitis associated to a breast ductal carcinoma. The patient was treated with tamoxifene; survival was of three months. Association of gastric cancer and breast cancer are not to be ignored. Extensive examinations must be carried out to determine the primitive or secondary character gastric cancer.