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A case of clinical stage I gastric cancer with a schwannoma on the left supraclavicular fossa suspected as Virchow’s node metastasis
BACKGROUND: Gastric cancer is relatively prone to metastasis, although distant metastasis is rare during the early stage of disease. Here we report a rare case of schwannoma-associated Virchow metastasis of a patient with early-stage gastric cancer. CASE PRESENTATION: A 73-year-old man, diagnosed wi...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9106788/ https://www.ncbi.nlm.nih.gov/pubmed/35554748 http://dx.doi.org/10.1186/s40792-022-01439-0 |
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author | Hara, Yoshihiro Nakamura, Kenichi Iwagami, Shiro Ogawa, Katsuhiro Sawayama, Hiroshi Iwatsuki, Masaaki Baba, Yoshifumi Miyamoto, Yuji Yoshida, Naoya Baba, Hideo |
author_facet | Hara, Yoshihiro Nakamura, Kenichi Iwagami, Shiro Ogawa, Katsuhiro Sawayama, Hiroshi Iwatsuki, Masaaki Baba, Yoshifumi Miyamoto, Yuji Yoshida, Naoya Baba, Hideo |
author_sort | Hara, Yoshihiro |
collection | PubMed |
description | BACKGROUND: Gastric cancer is relatively prone to metastasis, although distant metastasis is rare during the early stage of disease. Here we report a rare case of schwannoma-associated Virchow metastasis of a patient with early-stage gastric cancer. CASE PRESENTATION: A 73-year-old man, diagnosed with early-stage gastric cancer, underwent preoperative scrutiny, and was only suspected to have Virchow metastasis. Owing to atypical metastatic findings, a lymph node biopsy was performed to confirm the diagnosis and to determine the treatment strategy. The pathology results of the biopsy showed a diagnosis of schwannoma, the patient was judged to be surgically resectable, and a laparoscopic gastrectomy was performed to achieve a radical resection. The patient is currently under outpatient observation with no apparent recurrence. CONCLUSION: Systemic chemotherapy is generally administered according to the physician’s clinical judgment, although the results of a lymph node biopsy contribute to a more curative treatment. When nonspecific metastases are found, it is important to make a reliable diagnosis and to select a treatment that achieves a cure. |
format | Online Article Text |
id | pubmed-9106788 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-91067882022-05-15 A case of clinical stage I gastric cancer with a schwannoma on the left supraclavicular fossa suspected as Virchow’s node metastasis Hara, Yoshihiro Nakamura, Kenichi Iwagami, Shiro Ogawa, Katsuhiro Sawayama, Hiroshi Iwatsuki, Masaaki Baba, Yoshifumi Miyamoto, Yuji Yoshida, Naoya Baba, Hideo Surg Case Rep Case Report BACKGROUND: Gastric cancer is relatively prone to metastasis, although distant metastasis is rare during the early stage of disease. Here we report a rare case of schwannoma-associated Virchow metastasis of a patient with early-stage gastric cancer. CASE PRESENTATION: A 73-year-old man, diagnosed with early-stage gastric cancer, underwent preoperative scrutiny, and was only suspected to have Virchow metastasis. Owing to atypical metastatic findings, a lymph node biopsy was performed to confirm the diagnosis and to determine the treatment strategy. The pathology results of the biopsy showed a diagnosis of schwannoma, the patient was judged to be surgically resectable, and a laparoscopic gastrectomy was performed to achieve a radical resection. The patient is currently under outpatient observation with no apparent recurrence. CONCLUSION: Systemic chemotherapy is generally administered according to the physician’s clinical judgment, although the results of a lymph node biopsy contribute to a more curative treatment. When nonspecific metastases are found, it is important to make a reliable diagnosis and to select a treatment that achieves a cure. Springer Berlin Heidelberg 2022-05-13 /pmc/articles/PMC9106788/ /pubmed/35554748 http://dx.doi.org/10.1186/s40792-022-01439-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Case Report Hara, Yoshihiro Nakamura, Kenichi Iwagami, Shiro Ogawa, Katsuhiro Sawayama, Hiroshi Iwatsuki, Masaaki Baba, Yoshifumi Miyamoto, Yuji Yoshida, Naoya Baba, Hideo A case of clinical stage I gastric cancer with a schwannoma on the left supraclavicular fossa suspected as Virchow’s node metastasis |
title | A case of clinical stage I gastric cancer with a schwannoma on the left supraclavicular fossa suspected as Virchow’s node metastasis |
title_full | A case of clinical stage I gastric cancer with a schwannoma on the left supraclavicular fossa suspected as Virchow’s node metastasis |
title_fullStr | A case of clinical stage I gastric cancer with a schwannoma on the left supraclavicular fossa suspected as Virchow’s node metastasis |
title_full_unstemmed | A case of clinical stage I gastric cancer with a schwannoma on the left supraclavicular fossa suspected as Virchow’s node metastasis |
title_short | A case of clinical stage I gastric cancer with a schwannoma on the left supraclavicular fossa suspected as Virchow’s node metastasis |
title_sort | case of clinical stage i gastric cancer with a schwannoma on the left supraclavicular fossa suspected as virchow’s node metastasis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9106788/ https://www.ncbi.nlm.nih.gov/pubmed/35554748 http://dx.doi.org/10.1186/s40792-022-01439-0 |
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