Left-sided renal colic as a symptom of advanced stomach cancer - A case report

Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, Poland.
Contemporary Oncology / Wspólczesna Onkologia (Impact Factor: 0.22). 05/2012; 16(2):191-193. DOI: 10.5114/wo.2012.28803
Source: PubMed


The typical symptoms of advanced cancer of the stomach are well known in clinical practice. The presented case concerns a patient with symptoms of left-sided renal colic, caused by a malignant tumour involving the ureter, which was diagnosed with a CT scan. The multifocal process, involving the stomach, two parts of the colon, the left ovary and the side of the pelvis, was confirmed only during surgery.
The resection or partial resection of the above-mentioned organs involved by the malignant process and reconstruction of the alimentary tract as well as the ureter were performed at time of this operation. The patient's recovery was without any complications. The histopathological findings support the diagnosis of this malignant process as disseminated stomach cancer.
In the available literature only two cases of stomach cancer metastasis to the ureter have been described. In both cited examples resection of the ureter with nephrectomy was performed. The review of the literature supports the value of stomach palliative resection in prolonging life and improving quality of life.

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    • "In the majority of patients, gastric cancer is diagnosed at a later stage than the first stage of disease progression (6), with classic symptoms of weight loss, consistent and dull pain in the epigastrium, loss of appetite, nausea, vomiting and chronic bleeding (7,8). Rare symptoms of disseminated gastric cancer manifest as renal colic (9). In Europe, gastric cancer represents 8–9% of newly diagnosed cancer cases, and incidence and mortality are twice as high in males compared with females. "
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    ABSTRACT: Each year, ~988,000 new cases of stomach cancer are reported worldwide. Uniformity for the definition of advanced gastric cancer (AGC) is required to ensure the improved management of patients. Various classifications do actually exist for gastric cancer, but the classification determined by lesion depth is extremely important, as it has been shown to correlate with patient prognosis; for example, early gastric cancer (EGC) has a favourable prognosis when compared with AGC. In the literature, the definition of EGC is clear, however, there is heterogeneity in the definition of AGC. In the current study, all parameters of the TNM classification for AGC reported in each previous study were individually analysed. It was necessary to perform a comprehensive systematic literature search of all previous studies that have reported a definition of ACG to guarantee homogeneity in the assessment of surgical outcome. It must be understood that the term 'advanced gastric cancer' may implicate a number of stages of disease, and studies must highlight the exact clinical TNM stages used for evaluation of the study.
    Oncology letters 01/2014; 7(1):164-170. DOI:10.3892/ol.2013.1672 · 1.55 Impact Factor

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