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CASE REPORT
Year : 2019  |  Volume : 52  |  Issue : 3  |  Page : 107-109

Gastric cancer and intrahepatic cholangiocarcinoma: Gastrectomy followed by left hepatectomy to achieve R0 resection


Department of Hepatopancreaticobiliary Surgery and Organ Transplantation, Fortis Hospital Mulund, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Alex Emmanuel Elobu
Department of Hepatopancreaticobiliary Surgery and Organ Transplantation, Fortis Hospital Mulund, Mulund-Goregaon Link Road, Mumbai - 400 078, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/fjs.fjs_112_18

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Gastric cancer is the fifth most common cancer and the third leading cause of cancer deaths globally. Its incidence is highest in Asia and lowest in Africa. In 1.1%–4.7% of all gastric cancer cases, at least one other primary tumor may be found. We present the case of a 55-year-old male from West Asia who underwent proximal gastrectomy for Stage IIB gastric adenocarcinoma. One year into postoperative surveillance, routine abdominal imaging revealed a liver tumor. A left hepatectomy was performed, histology of which revealed cholangiocarcinoma. Cholangiocarcinoma though rare may occur following a diagnosis of gastric cancer, thus the strong need for routine abdominal imaging during surveillance of these patients. Any suspicious lesions discovered during follow-up need to be vigilantly evaluated so that patients are offered appropriate and timely treatment.


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