J Korean Gastric Cancer Assoc.  2004 Sep;4(3):180-185.

Two Cases of Teenage Gastric Cancer Patients

Affiliations
  • 1Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. hkyang@plaza.snu.ac.kr
  • 2Department of Pathology, Seoul National University College of Medicine, Seoul, Korea.
  • 3Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.

Abstract

Recently, we experienced two advanced gastric cancer (AGC) patients younger than 17 years of age. The first case was a 15-year, 2-month-old male who had suffered from epigastric soreness for 5 weeks. His grandfather died of gastric cancer at 39 years of age. Under the diagnosis of AGC, he underwent a total gastrectomy with D2 lymph node dissection. There was no evidence of distant metastasis. Pathologic examination revealed a 4.5x4 cm, signet ring cell adenocarcinoma with subserosal invasion and with metastasis in 9 of 42 regional lymph nodes (T2bN2M0). The second case was a 17-year, 11-month-old male who had suffered from epigastric pain for 2 years without familial clustering. Under the diagnosis of AGC, he underwent a distal subtotal gastrectomy with D2 lymph node dissection. There was no evidence of distant metastasis. Pathologic examination revealed a 3x2 cm, signet ring cell adenocarcinoma with subserosal invasion and with metastasis in 9 of 45 regional lymph nodes (T2bN2M0). The two patients have been alive without recurrence for 27 months and 4 months, respectively. Even among teenagers, patients with abdominal complaints should be subjected to a thorough examination of the gastrointestinal tract.

Keyword

Gastric cancer; Teenage; Young age

MeSH Terms

Adenocarcinoma
Adolescent
Diagnosis
Gastrectomy
Gastrointestinal Tract
Humans
Infant
Lymph Node Excision
Lymph Nodes
Male
Neoplasm Metastasis
Recurrence
Stomach Neoplasms*
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