Case Report
Copyright ©The Author(s) 2021.
World J Gastroenterol. Feb 14, 2021; 27(6): 534-544
Published online Feb 14, 2021. doi: 10.3748/wjg.v27.i6.534
Table 1 Lymph node station
Station No.
1Right paracardial nodes
3Lesser curvature nodes
4sbLeft greater curvature nodes along the left gastroepiploic artery
4dRight greater curvature nodes along the right gastroepiploic artery
5Suprapyloric nodes
6Infrapyloric nodes
7Nodes at the root of the left gastric artery
8aAnterosuperior LNs along the common hepatic artery
8pPosterior LNs along the common hepatic artery
9Nodes at the celiac artery
11pNodes along the proximal splenic artery
12aHepatoduodenal ligament LNs along the proper hepatic artery
12bHepatoduodenal ligament LNs along the bile duct
12pHepatoduodenal ligament LNs along the portal vein
14vNodes along the superior mesenteric vein
13aSuperior posterior pancreatoduodenal lymph nodes
13bInferior posterior pancreatoduodenal lymph nodes
17aSuperior anterior pancreatoduodenal lymph nodes
17bInferior anterior pancreatoduodenal lymph nodes
Table 2 Timeline from the onset of symptoms to the completion of treatment
Time series
Symptoms and treatment details
5 mo agoHe had symptoms of abdominal pain, distension and weight loss (from 62 to 47 kg within 6 mo) and visited hospital
Double elemental diet tube was inserted to administer enteral nutrition and drain food residue from the stomach
4 mo agoStaging laparoscopy confirmed no liver metastasis, no dissemination, and negative lavage cytological results
Laparoscopic ante-colic gastrojejunostomy and half-cut of the gastric body at the distal side of the anastomosis were performed
1-4 mo agoSOX 1
SOX + Trastuzumab 2-4
The date of surgeryPancreaticoduodenectomy with D2 lymph node dissection for distal gastric cancer was done
Adjuvant S1 1
2-8 mo after surgeryAdjuvant SOX 1-3
CT shows no recurrence (7 mo after surgery)