pISSN : 2093-582X, eISSN : 2093-5641 J Gastric Cancer 2016;16(2):111-114 http://dx.doi.org/10.5230/jgc.2016.16.2.111
Case Report
Gastric Cancer with Peritoneal Tuberculosis: Challenges in Diagnosis and Treatment Amer Saeed Alshahrani1,2 and In Seob Lee1 1
Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea 2 Department of Surgery, Security Forces Hospital, Riyadh, Saudi Arabia
Herein, we report a 39-year-old female patient presenting with gastric cancer and tuberculous peritonitis. The differential diagnosis between advanced gastric cancer with peritoneal carcinomatosis and early gastric cancer with peritoneal tuberculosis (TB), and the treatment of these two diseases, were challenging in this case. Physicians should have a high index of suspicion for peritoneal TB if the patient has a history of this disease, especially in areas with a high incidence of TB, such as South Korea. An early diagnosis is critical for patient management and prognosis. A surgical approach including tissue biopsy or laparoscopic exploration is recommended to confirm the diagnosis. Key Words: Stomach neoplasms; Tuberculous peritonitis; Peritoneal carcinomatosis
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Introduction
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Case Report
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Correspondence to: In Seob Lee Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea Tel: +82-2-3010-1728, Fax: +82-2-474-9027 E-mail:
[email protected] Received February 26, 2016 Revised March 23, 2016 Accepted March 31, 2016
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This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyrights © 2016 by The Korean Gastric Cancer Association
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112 Alshahrani AS, et al.
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Fig. 1. (A) Gastroscopy showing a 2-cm antral ulcerative lesion. (B) Chest computed tomography showing left pleural effusion, sub-aortic and right para-tracheal lymph node enlargement, and plural nodularity.
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Fig. 2. (A, B) Initial abdomen computed tomography (CT). (A) Mesenteric haziness. (B) Pelvic ascites. (C, D) Follow-up abdomen CT scan. (C) Minimally improved mesenteric haziness. (D) Minimally reduced pelvic ascites.
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113 Gastric Cancer with Peritoneal Tuberculosis
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Discussion
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114 Alshahrani AS, et al.
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Cancer statistics in Korea: incidence, mortality, survival, and
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prevalence in 2012. Cancer Res Treat 2015;47:127-141.
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Conflicts of Interest
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