J Korean Surg Soc.  1999 Dec;57(Suppl):1031-1035.

A Case of Small Cell Carcinoma of the Stomach

• Park KH
• Yoo YO
• Park SH
• Lee HI
• Joo DH
• Park KH
• Cho CH
• Park JB

Abstract

A case of a small cell carcinoma of the stomach is reported. A small cell carcinoma of the stomach is a very rare disease. Preoperative diagnosis is very difficut. The prognosis of this disease is very poor compared with the common type of gastric carcinoma. Considering the poor prognosis of this particular disease, adjuvant chemotherapy might be mandatory in all cases even when a surgically curative resection is perfomed. A 63-year-old male was referred to our hospital for elective surgery for gastric cancer, which is located in the cardia. A total gastrectomy and splenectomy with D4 systematic lymph node dissection were perfomed. The serosal layer was invaded. The metastases were found in the number 1, 7, 8, and 12 lymph node. Thirteen of the 62 dissected nodes were positive. Other organs were grossly intact. The tumor cells were show small-sized cells with hyperchromatic nuclei and scanty cytoplasms, and were arranged in solid nests. No glandular differentiation was observed in the tumor itself. Postoperative adjuvant chemotherapy was perfomed with etoposide and carboplatin. The patient has been followed up for 10 months he appears to be relatively healthy and is doing well, but the prognosis is expected to be poor.

Keyword

Small cell carcinoma; Stomach; Neuroendocrine carcinoma

MeSH Terms

Carboplatin
Carcinoma, Neuroendocrine
Carcinoma, Small Cell*
Cardia
Chemotherapy, Adjuvant
Cytoplasm
Diagnosis
Etoposide
Gastrectomy
Humans
Lymph Node Excision
Lymph Nodes
Male
Middle Aged
Neoplasm Metastasis
Prognosis
Rare Diseases
Splenectomy
Stomach Neoplasms
Stomach*
Carboplatin
Etoposide