Robotically assisted total gastrectomy for lymphadenopathy after long-term follow-up for multiple type 1 gastric neuroendocrine tumor (NET): a case report
Abstract Background Type 1 gastric neuroendrine tumor (NET) is usually associated with chronic atrophic gastritis and forms multiple lesions. While most cases of type 1 gastric NET are generally slowly growing, some develop regional lymph node metastases even after long-term dormancy. Case presentat...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-08-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-023-01725-5 |
| _version_ | 1797451703317954560 |
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| author | Nozomi Funatsu Kentaro Hara Maki Takagi Atsushi Onodera Kohdai Ueno Kazuya Endo Haruhiko Cho |
| author_facet | Nozomi Funatsu Kentaro Hara Maki Takagi Atsushi Onodera Kohdai Ueno Kazuya Endo Haruhiko Cho |
| author_sort | Nozomi Funatsu |
| collection | DOAJ |
| description | Abstract Background Type 1 gastric neuroendrine tumor (NET) is usually associated with chronic atrophic gastritis and forms multiple lesions. While most cases of type 1 gastric NET are generally slowly growing, some develop regional lymph node metastases even after long-term dormancy. Case presentation A 73-year-old male patient with a 32-year history of multiple gastric NET was being followed-up at the study center after endoscopic submucosal dissection (ESD) of a large gastric NET. A blood examination revealed high serum gastrin (> 3000 pg/ml). An endoscopic examination found atrophic mucosa and multiple, elevated lesions in the upper to lower stomach body. Computed tomography (CT) revealed regional lymphadenopathy in the greater omentum along the gastroepiploic artery. Robotically assisted total gastrectomy was performed with D2 lymphadenectomy and Roux-en-Y reconstruction. Pathological analysis revealed a large number of gastric NET (grade 1) with a maximum size of 4.5 mm invading the submucosal layer. A single lymph node metastasis was also detected pathologically at station #4d. The postoperative course was uneventful, and serum gastrin normalized postoperatively. At postoperative year 3, the patient has been doing well without any recurrences. Conclusions The present case of multiple gastric NET with a single regional lymph node metastasis at year 32 of follow-up was successfully treated with a robotically assisted total gastrectomy. |
| first_indexed | 2024-03-09T14:58:19Z |
| format | Article |
| id | doaj.art-9efb277bf3c348d1b959248240e7d9fd |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-03-09T14:58:19Z |
| publishDate | 2023-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-9efb277bf3c348d1b959248240e7d9fd2023-11-26T14:03:41ZengSpringerOpenSurgical Case Reports2198-77932023-08-01911410.1186/s40792-023-01725-5Robotically assisted total gastrectomy for lymphadenopathy after long-term follow-up for multiple type 1 gastric neuroendocrine tumor (NET): a case reportNozomi Funatsu0Kentaro Hara1Maki Takagi2Atsushi Onodera3Kohdai Ueno4Kazuya Endo5Haruhiko Cho6Department of Gastric Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome HospitalDepartment of Gastric Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome HospitalDepartment of Gastric Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome HospitalDepartment of Gastric Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome HospitalDepartment of Gastric Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome HospitalDepartment of Gastric Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome HospitalDepartment of Gastric Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome HospitalAbstract Background Type 1 gastric neuroendrine tumor (NET) is usually associated with chronic atrophic gastritis and forms multiple lesions. While most cases of type 1 gastric NET are generally slowly growing, some develop regional lymph node metastases even after long-term dormancy. Case presentation A 73-year-old male patient with a 32-year history of multiple gastric NET was being followed-up at the study center after endoscopic submucosal dissection (ESD) of a large gastric NET. A blood examination revealed high serum gastrin (> 3000 pg/ml). An endoscopic examination found atrophic mucosa and multiple, elevated lesions in the upper to lower stomach body. Computed tomography (CT) revealed regional lymphadenopathy in the greater omentum along the gastroepiploic artery. Robotically assisted total gastrectomy was performed with D2 lymphadenectomy and Roux-en-Y reconstruction. Pathological analysis revealed a large number of gastric NET (grade 1) with a maximum size of 4.5 mm invading the submucosal layer. A single lymph node metastasis was also detected pathologically at station #4d. The postoperative course was uneventful, and serum gastrin normalized postoperatively. At postoperative year 3, the patient has been doing well without any recurrences. Conclusions The present case of multiple gastric NET with a single regional lymph node metastasis at year 32 of follow-up was successfully treated with a robotically assisted total gastrectomy.https://doi.org/10.1186/s40792-023-01725-5Gastric neuroendocrine tumorRobotically assisted total gastrectomyType A gastritisHypergastrinemia |
| spellingShingle | Nozomi Funatsu Kentaro Hara Maki Takagi Atsushi Onodera Kohdai Ueno Kazuya Endo Haruhiko Cho Robotically assisted total gastrectomy for lymphadenopathy after long-term follow-up for multiple type 1 gastric neuroendocrine tumor (NET): a case report Surgical Case Reports Gastric neuroendocrine tumor Robotically assisted total gastrectomy Type A gastritis Hypergastrinemia |
| title | Robotically assisted total gastrectomy for lymphadenopathy after long-term follow-up for multiple type 1 gastric neuroendocrine tumor (NET): a case report |
| title_full | Robotically assisted total gastrectomy for lymphadenopathy after long-term follow-up for multiple type 1 gastric neuroendocrine tumor (NET): a case report |
| title_fullStr | Robotically assisted total gastrectomy for lymphadenopathy after long-term follow-up for multiple type 1 gastric neuroendocrine tumor (NET): a case report |
| title_full_unstemmed | Robotically assisted total gastrectomy for lymphadenopathy after long-term follow-up for multiple type 1 gastric neuroendocrine tumor (NET): a case report |
| title_short | Robotically assisted total gastrectomy for lymphadenopathy after long-term follow-up for multiple type 1 gastric neuroendocrine tumor (NET): a case report |
| title_sort | robotically assisted total gastrectomy for lymphadenopathy after long term follow up for multiple type 1 gastric neuroendocrine tumor net a case report |
| topic | Gastric neuroendocrine tumor Robotically assisted total gastrectomy Type A gastritis Hypergastrinemia |
| url | https://doi.org/10.1186/s40792-023-01725-5 |
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