Table 1.
Case | Age | Sex | Maximum diameter of tumor (mm) | Macroscopic subtype | Histopathological subtype | Lymph-vascular involvement | Metastasis | Pulmonary arterial pressure |
---|---|---|---|---|---|---|---|---|
1 | 76 | Male | 70 | Borrmann 3 | por | ly-3 v-2 |
Lung, diaphragm, pleura, peritoneum, liver, gallbladder, pancreas, adrenal gland, lymph nodes. | 90 mmHg |
2 | 82 | Female | 20 | Borrmann 2 | por | ly-3 v-1 |
Lung, liver, pancreas, lymph nodes | 10 mmHg |
3 | 67 | Female | 30 | Superficial depressed type | por | ly-3 v-1 |
Lung, esophagus, thyroid, pericardium, ovary, lymph nodes | Unknown |
4 | 67 | Female | 75 | Borrmann 3 | por | ly-3 v-1 |
Esophagus, duodenum, ileum, jejunum, colon, mesenterium, liver, gallbladder, pancreas, kidney, adrenal gland, aorta, lymph nodes | Unknown |
5 | 49 | Female | 60 | Borrmann 3 | pap | ly-3 v-2 |
Esophagus, duodenum, liver, pancreas, kidney, adrenal gland, lymph nodes | Unknown |
6 | 72 | Male | 20 | Borrmann 2 | por | ly-3 v-1 |
Pancreas, spleen, kidney, adrenal gland, colon, spinal cord, lymph nodes | Unknown |
por: poorly differentiated adenocarcinoma, pap: papillary adenocarcinoma, ly/v-1: minimal lympho-vascular involvement, ly/v-2: moderate lympho-vascular involvement, ly/v-3: prominent lympho-vascular involvement
Patient age ranged from 49 to 82 years (mean ± standard deviation: 68.3 ± 11.3). The gender ratio was 4:2 (male to female). Maximum diameter of the tumor ranged from 20 to 70 mm (mean ± standard deviation: 45.8 ± 25.4). Main histology of gastric carcinoma involved poorly differentiated adenocarcinoma in five of the six cases (Case 1, 2, 3, 4, and 6), while the remaining case involved papillary adenocarcinoma (Case 5). Although all cases more or less showed lymph-vascular involvement, lymphatic involvement was prominent. Case 1 and 2 involved clinically proven and denied pulmonary hypertension, respectively.