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World J Gastroenterol. Aug 7, 2014; 20(29): 10193-10201
Published online Aug 7, 2014. doi: 10.3748/wjg.v20.i29.10193
Published online Aug 7, 2014. doi: 10.3748/wjg.v20.i29.10193
Fever as a first manifestation of advanced gastric adenosquamous carcinoma: A case report
Harsha Ajoodhea, Ren-Chao Zhang, Xiao-Wu Xu, Wei-Wei Jin, Ke Chen, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China
Yong-Tao He, Department of Pathology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China
Author contributions: Zhang RC, Xu XW and Mou YP performed the operation; Jin WW and Chen K collected case data; He YT proofread all the pathological data; Ajoodhea H and Zhang RC wrote the manuscript; Mou YP proofread and revised the manuscript; all authors approved the version to be published.
Supported by Natural Science Foundation of Zhejiang Province, China, grant No. LQ13H160007
Correspondence to: Yi-Ping Mou, MD, FACS, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou 310016, Zhejiang Province, China. mouyp@srrsh.com
Telephone: +86-571-86006952 Fax: +86-571-86044817
Received: December 28, 2013
Revised: March 24, 2014
Accepted: April 21, 2014
Published online: August 7, 2014
Processing time: 222 Days and 9.1 Hours
Revised: March 24, 2014
Accepted: April 21, 2014
Published online: August 7, 2014
Processing time: 222 Days and 9.1 Hours
Core Tip
Core tip: Totally laparoscopic total gastrectomy for advanced primary adenosquamous carcinoma of the stomach with fever as the initial manifestation is an interesting combination of a rare lesion with an atypical presentation and an uncommon complex surgical procedure. Given the aggressive nature and advanced stage at diagnosis, there are no reports of this carcinoma in the English literature. To the best of our knowledge, this is the first case of its kind reported in the English literature.