Distant metastasis in the right inguinal area from gastric cancer: A case report.

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Jia-Qi Hao, Shu-Yue Hu, Zi-Xuan Zhuang, Yu-Jie Zhang, Jia-Wan Zhang, Feng-Jun He, Wen Zhuang, Mo-Jin Wang
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引用次数: 0

Abstract

Background: Gastric cancer is the fifth most common cancer and the fourth leading cause of death worldwide. Most cases of newly diagnosed gastric cancer involve not only locally advanced tumor growth and regional lymph node metastases but also distant metastases. We report a rare case finding of a mass in the right inguinal area which is derived from gastric cancer.

Case summary: A 68-year-old male initially diagnosed with an inguinal hernia presented with a 2 cm mass in the right inguinal area. Gastrointestinal symptoms led to the discovery of a stomach tumor. Biopsy confirmed gastrointestinal adenocarcinoma. The diagnosis was advanced gastric cancer with peritoneal dissemination, and the inguinal mass was due to direct infiltration. Due to gastrointestinal bleeding, the patient underwent palliative gastrectomy and lymph node dissection. Postoperatively, the patient received hyperthermic intraperitoneal chemotherapy and localized radiation therapy.

Conclusion: This case indicates that a systematic evaluation should be conducted during the initial consultation to explore the potential connection between unrecognized distant masses and the primary tumor.

胃癌右腹股沟区远处转移1例。
背景:胃癌是世界上第五大常见癌症和第四大死亡原因。大多数新诊断的胃癌病例不仅包括局部晚期肿瘤生长和区域淋巴结转移,而且还包括远处转移。我们报告一个罕见的病例发现的肿块在右腹股沟区,这是源自胃癌。病例总结:一名68岁男性,最初诊断为腹股沟疝,在右侧腹股沟区域出现2厘米肿块。胃肠道症状导致胃部肿瘤的发现。活检证实为胃肠道腺癌。诊断为晚期胃癌伴腹膜播散,腹股沟肿块为直接浸润。由于消化道出血,患者接受了姑息性胃切除术和淋巴结清扫。术后给予腹腔热化疗和局部放疗。结论:本病例提示在初次会诊时应进行系统评估,以探索未被识别的远处肿块与原发肿瘤之间的潜在联系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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