Gastric carcinoma with psammomatous calcification after Billroth II reconstruction: Case report and literature review

A case of gastric carcinoma with psammomatous calcification arising in the remnant stomach after Billroth II reconstruction is reported. Borrmann type 1 gastric carcinoma was detected in the remnant stomach of an 82‐year‐old woman, who had a past history of distal partial gastrectomy for a perforate...

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Bibliographic Details
Published in:Pathology international 2001-09, Vol.51 (9), p.718-722
Main Authors: Kawahara, Kunimitsu, Niguma, Takefumi, Yoshino, Tadashi, Omonishi, Kunihiro, Hatakeyama, Setsuko, Nakamura, Shin‐ichi, Hirota, Seiichi, Motoi, Makoto
Format: Article
Language:English
Subjects:
Adenocarcinoma - metabolism
Adenocarcinoma - pathology
Aged
Aged, 80 and over
Billroth II reconstruction
Bone Morphogenetic Protein 2
Bone Morphogenetic Protein 4
Bone Morphogenetic Protein 6
Bone Morphogenetic Proteins - analysis
Calcinosis - metabolism
Calcinosis - pathology
Female
Gastrectomy
Humans
Immunohistochemistry
Osteopontin
psammoma bodies
Sialoglycoproteins - analysis
Stomach Neoplasms - metabolism
Stomach Neoplasms - pathology
Transforming Growth Factor beta
tubular adenocarcinoma
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Summary:A case of gastric carcinoma with psammomatous calcification arising in the remnant stomach after Billroth II reconstruction is reported. Borrmann type 1 gastric carcinoma was detected in the remnant stomach of an 82‐year‐old woman, who had a past history of distal partial gastrectomy for a perforated gastric ulcer, with Billroth II reconstruction at 40 years of age. Histologically, the tumor was a tubular adenocarcinoma that invaded the muscularis propria. Numerous psammoma bodies were found in the lumens of the tumor glands. Dystrophic calcification of gastric cancer is rare and psammomatous calcification of gastric cancer has only been reported in five cases previously. To our knowledge, this is the first case of gastric carcinoma with psammomatous calcification arising in the remnant stomach. We also review previously published reports regarding gastric carcinoma with psammomatous calcification.
ISSN:1320-5463
1440-1827
DOI:10.1046/j.1440-1827.2001.01257.x