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

Kunimitsu Kawahara, Takefumi Niguma, Tadashi Yoshino, Kunihiro Omonishi, Setsuko Hatakeyama, Shin Ichi Nakamura, Seiichi Hirota, Makoto Motoi

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Abstract

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.

Original languageEnglish
Pages (from-to)718-722
Number of pages5
JournalPathology International
Volume51
Issue number9
DOIs
Publication statusPublished - Nov 1 2001

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Keywords

  • Billroth II reconstruction
  • Psammoma bodies
  • Tubular adenocarcinoma

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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