Huge Gastric Carcinoma Showing an Exophytic Growth Pattern: A Case Report and Review of the Literature

摘要

We herein report a case of huge gastric carcinoma showing an exophytic growth pattern. The gastric carcinoma measured 160 × 130 mm in size. A radical resection was judged to be impossible preoperatively since the tumor invasion of the pancreas and liver was demonstrated on computed tomography. A pancreaticoduodenectomy combined with a resection of the transverse colon was performed. A pathological examination demonstrated the tumor to directly invade the pancreas and transverse colon; however, no metastasis was observed in the regional lymph nodes. The patient is alive and doing well without any recurrence at 5 years postoperatively.