[A Case of Gastric Cancer with Necrotic Lymph Node Perforation in the Stomach during Chemotherapy]
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Updated: Jan 19, 2026
Lymph Nodes: Head & Neck, Axillae, Upper & Lower Extremities
Published on: April 30, 2023
Hiroshi Suito1, Kouichi Shinoto, Yasushi Okazaki
1Dept. of Surgery, Yokohama Rosai Hospital.
Abstract:
A 63-year-old man was diagnosed with gastric cancer. Distal gastrectomywas performed in November 2011. The pathologic finding was pT3N2M0, Stage ⅢA. S-1 was administered as adjuvant chemotherapy. However, in August 2012, computed tomographyrevealed a tumor measuring 3 cm in size in the dorsal pancreas. Based on endoscopic ultrasound-guided fine- needle aspiration, he was diagnosed with lymph node recurrence of gastric cancer. Injection chemotherapy of CDDP/CPT-11 was initiated in November 2012. In January 2013, the patient developed fever owing to a ruptured abscess from the posterior wall in the stomach. In the 6 years since, although the patient has not undergone chemotherapy, recurrence has not been observed.
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