A Case Report of Laparoscopic Distal Gastrectomy for Gastric Cancer with Autosomal Dominant Polycystic Kidney Disease and Multiple Liver Cysts.

IF 0.7 Q4 GASTROENTEROLOGY & HEPATOLOGY

Case Reports in Gastroenterology Pub Date : 2025-08-27 eCollection Date: 2025-01-01 DOI:10.1159/000547068

Yukihiro Kato, Hanae Matsuda, Takuya Kikukawa, Atsushi Isihara, Yasunori Matsuda, Seikan Miyashita, Masahiro Nishikawa, Takahiro Uenishi

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Abstract

Introduction: Here, we report a case of gastric cancer associated with autosomal dominant polycystic kidney disease (ADPKD).

Case presentation: A 73-year-old woman with chronic renal failure due to polycystic kidneys, who was undergoing hemodialysis treatment three times a week for 1 month, was admitted to our hospital because of anemia. She reported that her mother had suffered from polycystic kidney disease. Gastrointestinal fiberscopy revealed a type 1 cancerous lesion in the lesser curvature of the antrum. Histopathological analysis of gastric tumor biopsy specimens revealed differentiated tubular adenocarcinoma. Abdominal computed tomography revealed multiple cysts in the liver, cystic lesions on both kidneys, and thickening of the gastric wall. A laparoscopic distal gastrectomy with lymph node dissection was performed.

Conclusion: Reports of the association between gastric cancer and ADPKD are exceptionally uncommon. Especially, no cases of laparoscopic distal gastrectomy for gastric cancer with ADPKD have been previously reported. To our knowledge, this is the first report of laparoscopic surgery for gastric cancer with ADPKD and multiple liver cysts.

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腹腔镜胃远端切除术治疗胃癌伴常染色体显性多囊肾病及多发性肝囊肿1例报告。

简介：在此，我们报告一例胃癌合并常染色体显性多囊肾病（ADPKD）。病例介绍：一名73岁妇女，因多囊肾慢性肾衰竭，每周进行3次血液透析治疗，持续1个月，因贫血入院。她报告说，她的母亲患有多囊肾病。胃肠道纤维镜检查显示1型癌变灶位于胃窦小弯。胃肿瘤活检标本的组织病理学分析显示分化管状腺癌。腹部计算机断层扫描显示肝脏多发囊肿，双肾囊性病变，胃壁增厚。腹腔镜胃远端切除术伴淋巴结清扫术。结论：关于胃癌与ADPKD之间关系的报道非常罕见。尤其是腹腔镜下远端胃切除术治疗伴有ADPKD的胃癌尚未见报道。据我们所知，这是腹腔镜手术治疗胃癌合并ADPKD和多发性肝囊肿的第一篇报道。

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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