Sarcomatoid carcinoma of the jejunum with gastric metastases: A case report and review of the literature

Joint Conference on 6^th International Conference on Clinical & Medical Case Reports & 11^th Global Healthcare & Fitness Summit

October 16-18, 2017 San Francisco, USA

Ching-Ming Kwok

Cheng Hsin General Hospital, Taiwan

Scientific Tracks Abstracts: J Clin Case Rep

Abstract :

Introduction: Sarcomatoid carcinoma (SCA) of jejunum is an extremely rare condition. To our knowledge, only 17 cases have been reported in the literature. Presentation: We introduced an additional case of the sarcomatoid carcinoma of jejunum in a 62-year-old Chinese male, who presented with epigastric pain for 3 weeks. Multiple tumors originated in the jejunum and metastases to mesentery lymph nodes and distal stomach were found during the laparotomy. The patient underwent palliative resection of the tumors. He died 11 days after the operation. Discussion: Sarcomatoid carcinoma (SCA) of jejunum is an extremely poor prognostic tumor in human being. The diagnosis of SCA was based on pathological observations and immunohistochemical staining. There is no official treatment guideline for SCA, but wide excision including the tumor is the main goal of treatment. Conclusion: This is the first case of sarcomatoid carcinoma of jejunum with gastric metastases being reported and the shortest survival period after the operation. Surgery is the cornerstones of treatment, but the ideal means is still unknown due to the short survival and inadequate reports.

Biography :

Ching-Ming Kwok has completed his Graduation from National Yang Ming Medical University in Taipei city in 1996. He became a Surgeon in the District hospital in Taipei city from 2003, after completing his resident course in Taipei Veteran General Hospital. He focused in treating patients in the field of General Surgery and has many experiences in different kind of conditions, including gastroenteric, hepatopancreatic, biliary tract, thyroid disorders and breast disease. He was proud of the improvement in his laparoscopic skills during these years of busy practice, but there was not much time to perform clinical study. He still had the idea to present some of the special cases to the world.