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402
[Splenic Sarcoidosis with Concurrent Gastric Cancer Diagnosed by Robot-Assisted Surgery-A Case Report]
Akifumi Hashimoto1, Koichi Okamoto, Saki Kuwata
1Dept. of General and Digestive Surgery, Kanazawa Medical University.
Gan to Kagaku Ryoho. Cancer & Chemotherapy
|February 14, 2025
Summary
This study reports a case of early gastric cancer treated with robot-assisted surgery, including splenectomy for suspected splenic tumors. The patient was successfully treated, with splenic sarcoidosis identified histopathologically.
Area of Science:
- Oncology
- Surgical Gastroenterology
- Pathology
Background:
- Early gastric cancer requires timely surgical intervention.
- Splenic lesions can present diagnostic challenges, sometimes mimicking metastatic disease.
- Robot-assisted surgery offers potential benefits in complex abdominal procedures.
Purpose of the Study:
- To describe a case of simultaneous robot-assisted distal gastrectomy and splenectomy for early gastric cancer with incidental splenic lesions.
- To evaluate the feasibility and safety of robot-assisted splenectomy in conjunction with gastric cancer surgery.
- To highlight the importance of histopathological examination for definitive diagnosis of splenic tumors.
Main Methods:
- FDG-PET/CT imaging to identify splenic lesions.
- Robot-assisted distal gastrectomy (D1+) with Billroth II reconstruction.
- Robot-assisted splenectomy.
- Histopathological examination of resected specimens.
Main Results:
- Successful simultaneous robot-assisted surgery for early gastric cancer and splenic tumors.
- Histopathology confirmed early gastric cancer (pT1a, N0, M0, pStage IA).
- Multiple splenic tumors diagnosed as splenic sarcoidosis based on non-caseating granulomas.
Conclusions:
- Robot-assisted splenectomy can be safely performed concurrently with gastric cancer resection.
- Histopathological diagnosis is crucial for differentiating splenic tumors.
- Further research is needed to establish the role and long-term benefits of robot-assisted splenectomy.
