Based on this finding, D2 total gastrectomy, No. 16 lymph node dissection, splenectomy, and right adrenal tumefaction resection were performed. Histopathology revealed no recurring cyst cells in the stomach or lymph nodes. Postoperatively, she obtained S-1 treatment, that was stopped on completion regarding the very first training course due to its unwanted effects. She survived for more than 7 years postoperatively without getting chemotherapy and revealed no recurrence.A 68-year-old lady had undergone laparoscopic high anterior resection for rectal disease. Two years postoperatively, metachronal pulmonary metastases and cerebellar metastasis had been surgically resected. Three . 5 years following the major surgery, computed tomography(CT)demonstrated a nodule in the pancreatic tail. Under suspected main pancreatic cancer see more or metastasis from rectal disease, we performed distal pancreatectomy. Histological study of the pancreatic tumor recommended a metastasis from the rectal cancer since tumor cells were negative for CK7 and positive for CK20 and CDX2 immunohistochemically. Three months after the pancreatic resection, CT demonstrated hepatic and cerebellar metastases. After subsequent chemotherapy, liver metastasis disappeared. The cerebellar metastasis shrank with radiotherapy.We report an instance of a gastrointenstinal stromal tumor(GIST)of the little intestine with extraluminal growth that has been tough to distinguish from an ovarian tumefaction. A 73-year-old woman presented to a nearby hospital for reduced stomach discomfort. A computed tomography(CT)scan revealed a 17 cm ovarian tumor in the pelvis, and she ended up being described the gynecology department of your hospital. Following examinations(enhanced CT and magnetized resonance imaging), she ended up being described our department in suspicion of a small intestinal GIST in that the superior mesenteric artery/vein had been the feeding blood vessel, and intraperitoneal tumor resection had been done. A large cystic tumefaction occupied the abdominal cavity and was at connection with the tiny abdominal wall surface. While the tumefaction was not in contact with the uterus or bilateral adnexa, just limited resection associated with little otitis media intestine had been carried out. Histopathological examination showed c-kit positivity and she had been diagnosed with little intestinal GIST; as a result, a program of imatinib was started.Cytomegalovirus(CMV)infection is a well-recognized complication of immunodeficiency. We present the outcome of a 90- year old female admitted due to gastric cancer. Fifty-seven times after gastrectomy, intestinal liquid was seen from the umbilical injury, which was suspected of anastomotic failure or gastrointestinal perforation. Abdominal computed tomography didn’t unveil intestinal perforation. CMV enteritis had been diagnosed by transanal double-balloon endoscopy through the cecum towards the dental side 15 cm regarding the ileum. Enterocutaneous fistula was regarded as being caused by CMV enteritis. The abdominal fluid outflow through the injury vanished treated with ganciclovir, and also the ulcer in the intestines vanished, also. We report this situation to bolster the significance of deciding on CMV infection as a differential diagnosis in intestinal perforation of compromised clients.Recent improvements into the survival of patients after esophagectomy have actually resulted in an increase in the occurrence of gastric pipe cancers(GTC). We retrospectively examined 7 customers who have been surgically treated for GTC among 13 patients have been identified between April 2004 and December 2018. Partial gastrectomy with local lymph node dissection was done in 6 clients while complete resection associated with belly ended up being performed only in 1 client. Postoperative complications included 1 anastomotic leakage and 1 subcutaneous abscess. We performed subtotal gastrectomy with conservation of this upper region of this gastric tube in 3 patients. During these clients, circulation ended up being verified from the remnant esophagus towards the top region of the gastric pipe using indocyanine green fluorescence imaging. The pathological stage associated with the addressed GTCs were 4 situations of Stage ⅠA, 2 of Stage ⅠB, and 1 of Stage ⅡA. Median follow-up time and postoperative success time were 32 months and 46.5 months, respectively. Almost all of our operatively treated instances had been early gastric carcinomas that would be drastically resected.Case 1 A 51-year-old man with advanced gastric cancer and peritoneal metastasis had been labeled our hospital. He received fourth-line chemotherapy with nivolumab, nonetheless it became PD. Next, he received S-1 plus docetaxel therapy as fifth- line therapy. After 2 courses of S-1 plus docetaxel, erythema and blisters appeared on their limbs, with erosions of this oral mucosa and cock. We diagnosed Stevens-Johnson syndrome(SJS)based on the clinical and pathological findings medicare current beneficiaries survey . He got steroid therapy, but the cutaneous signs persisted; therefore, it was impractical to carry on the chemotherapy because of the SJS. Case 2 A 75-year-old woman with recurrence of peritoneally disseminated gastric cancer obtained third-line chemotherapy with nivolumab. After 1 span of nivolumab, erythema appeared on her human anatomy and limbs, with erosion associated with the lips and oral mucosa. We diagnosed SJS based in the clinical conclusions. She received steroid therapy, nevertheless the cutaneous symptoms persisted; therefore, it absolutely was impractical to continue chemotherapy due to the SJS. It must be noted that the start of severe irAEs, such as SJS, will make continuous chemotherapy difficult.We report an incident of recurrent hepatocellular carcinoma(HCC)successfully treated by radiation therapy. A 79-year-old girl had been identified as having HCC and underwent liver resection. Seven months after resection, CT and MRI detected a new HCC, and she had a surgery once more.