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Case Reports in Surgery
Volume 2013 (2013), Article ID 560712, 4 pages
http://dx.doi.org/10.1155/2013/560712
Case Report

Five-Year Survival after Surgery for Invasive Micropapillary Carcinoma of the Stomach

Department of Surgery, Arita Gastrointestinal Hospital, 1-2-6 Maki, Oita 870-0294, Japan

Received 15 February 2013; Accepted 7 March 2013

Academic Editors: N. A. Chowdri, M. Rangarajan, and F. Turégano

Copyright © 2013 Shigeo Ninomiya et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Invasive micropapillary carcinoma (IMPC) of the breast, urinary bladder, ovary, and colon has been reported. However, few reports have described IMPC of the stomach. In addition, IMPC has been described as a histological indicator for lymphatic invasion and nodal metastasis, resulting in poor prognosis. We report a case of 5-year survival after surgery for IPMC of the stomach. A 69-year-old woman was admitted to our hospital with symptoms of upper abdominal pain. Upper gastrointestinal endoscopy revealed a tumor at the antrum of the stomach. Histological examination of the biopsy specimen indicated poorly differentiated adenocarcinoma. The patient underwent distal gastrectomy with lymph node dissection. Microscopic examination of the specimen revealed that the tumor consisted of an invasive micropapillary component. Carcinoma cell clusters were floating in the clear spaces. The patient recovered uneventfully and remains alive without recurrence 5 years after surgery.