A Rare Case of a Primary Squamous Cell Carcinoma of the Stomach Presenting as a Submucosal Mass

We report a case of a 70-year-old man, with a status after aortic valve replacement, who presented with melena and hypotension. On physical examination, he was hypotensive, but he responded to resuscitation. Esophagogastroduodenoscopy revealed a submucosal mass in the gastric fundus. Imaging of the...

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Main Authors: Wolf von Waagner, Zhuo Wang, Antonio I. Picon
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2015/482342
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author Wolf von Waagner
Zhuo Wang
Antonio I. Picon
author_facet Wolf von Waagner
Zhuo Wang
Antonio I. Picon
author_sort Wolf von Waagner
collection DOAJ
description We report a case of a 70-year-old man, with a status after aortic valve replacement, who presented with melena and hypotension. On physical examination, he was hypotensive, but he responded to resuscitation. Esophagogastroduodenoscopy revealed a submucosal mass in the gastric fundus. Imaging of the chest, abdomen, and pelvis showed no evidence of local or distant metastasis. He underwent a partial diaphragmatic resection, gastrectomy, lymphadenectomy, and Roux-en-Y esophagojejunostomy. Pathology showed a gastric squamous cell carcinoma (SCC) invading the diaphragm, with negative margins of resection, and one positive perigastric lymph node. He received chemoradiation, but the patient expired 27 months after surgery.
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series Case Reports in Surgery
spelling doaj-art-a44fbdca8c0c449a9857959a6d0c87462025-02-03T05:46:50ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/482342482342A Rare Case of a Primary Squamous Cell Carcinoma of the Stomach Presenting as a Submucosal MassWolf von Waagner0Zhuo Wang1Antonio I. Picon2Division of Surgical Oncology, Department of Surgery, Staten Island University Hospital, 256 B Mason Avenue, Staten Island, NY 10305, USADepartment of Pathology, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USADivision of Surgical Oncology, Department of Surgery, Staten Island University Hospital, 256 B Mason Avenue, Staten Island, NY 10305, USAWe report a case of a 70-year-old man, with a status after aortic valve replacement, who presented with melena and hypotension. On physical examination, he was hypotensive, but he responded to resuscitation. Esophagogastroduodenoscopy revealed a submucosal mass in the gastric fundus. Imaging of the chest, abdomen, and pelvis showed no evidence of local or distant metastasis. He underwent a partial diaphragmatic resection, gastrectomy, lymphadenectomy, and Roux-en-Y esophagojejunostomy. Pathology showed a gastric squamous cell carcinoma (SCC) invading the diaphragm, with negative margins of resection, and one positive perigastric lymph node. He received chemoradiation, but the patient expired 27 months after surgery.http://dx.doi.org/10.1155/2015/482342
spellingShingle Wolf von Waagner
Zhuo Wang
Antonio I. Picon
A Rare Case of a Primary Squamous Cell Carcinoma of the Stomach Presenting as a Submucosal Mass
Case Reports in Surgery
title A Rare Case of a Primary Squamous Cell Carcinoma of the Stomach Presenting as a Submucosal Mass
title_full A Rare Case of a Primary Squamous Cell Carcinoma of the Stomach Presenting as a Submucosal Mass
title_fullStr A Rare Case of a Primary Squamous Cell Carcinoma of the Stomach Presenting as a Submucosal Mass
title_full_unstemmed A Rare Case of a Primary Squamous Cell Carcinoma of the Stomach Presenting as a Submucosal Mass
title_short A Rare Case of a Primary Squamous Cell Carcinoma of the Stomach Presenting as a Submucosal Mass
title_sort rare case of a primary squamous cell carcinoma of the stomach presenting as a submucosal mass
url http://dx.doi.org/10.1155/2015/482342
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