Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
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Gastric Cancer with Peritoneal Tuberculosis: Challenges in Diagnosis and Treatment

  • Alshahrani, Amer Saeed (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, In Seob (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2016.02.26
  • Accepted : 2016.03.31
  • Published : 2016.06.30
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Abstract

Herein, we report a 39-year-old female patient presenting with gastric cancer and tuberculous peritonitis. The differential diagnosis between advanced gastric cancer with peritoneal carcinomatosis and early gastric cancer with peritoneal tuberculosis (TB), and the treatment of these two diseases, were challenging in this case. Physicians should have a high index of suspicion for peritoneal TB if the patient has a history of this disease, especially in areas with a high incidence of TB, such as South Korea. An early diagnosis is critical for patient management and prognosis. A surgical approach including tissue biopsy or laparoscopic exploration is recommended to confirm the diagnosis.

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References

  1. World Health Organization. Global tuberculosis report 2015 [Internet]. Geneva: World Health Organization; 2015 [cited 2015 Aug 20]. Available from: http://www.who.int/tb/publications/global_report/en/index.html.
  2. Jung KW, Won YJ, Kong HJ, Oh CM, Cho H, Lee DH, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2012. Cancer Res Treat 2015;47:127-141. https://doi.org/10.4143/crt.2015.060
  3. Harikrishna J, Sukaveni V, Kumar DP, Mohan A. Cancer and tuberculosis. J Ind Acad Clin Med 2012;13:142-144.
  4. Huang SF, Li CP, Feng JY, Chao Y, Su WJ. Increased risk of tuberculosis after gastrectomy and chemotherapy in gastric cancer: a 7-year cohort study. Gastric Cancer 2011;14:257-265. https://doi.org/10.1007/s10120-011-0037-1
  5. Hasanzadeh M, Naderi HR, Hoshyar AH, Shabane S, Shahidsales S. Female genital tract tuberculosis presenting as ovarian cancer. J Res Med Sci 2014;19:184-189.
  6. Yoon SK, Choi SW, Lee CD, Sun HS, Park DH, Kim BS, et al. Pure signet ring cell type early gastric carcinoma with extensive lymph node metastases: a case report. Korean J Intern Med 1987;2:273-277. https://doi.org/10.3904/kjim.1987.2.2.273
  7. Kang SJ, Kim JW, Baek JH, Kim SH, Kim BG, Lee KL, et al. Role of ascites adenosine deaminase in differentiating between tuberculous peritonitis and peritoneal carcinomatosis. World J Gastroenterol 2012;18:2837-2843. https://doi.org/10.3748/wjg.v18.i22.2837
  8. Uzunkoy A, Harma M, Harma M. Diagnosis of abdominal tuberculosis: experience from 11 cases and review of the literature. World J Gastroenterol 2004;10:3647-3649. https://doi.org/10.3748/wjg.v10.i24.3647
  9. Sanai FM, Bzeizi KI. Systematic review: tuberculous peritonitis: presenting features, diagnostic strategies and treatment. Aliment Pharmacol Ther 2005;22:685-700. https://doi.org/10.1111/j.1365-2036.2005.02645.x
  10. Christopoulos A, Katsarou I, Christopoulos I. Anticancer chemotherapy combined with anti-tuberculosis treatment: a systematic review. Eur Resp J 2013;42 Suppl 57:P4490.

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