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Case Report

Int Med. 2020; 2(3): 179-184


Stepwise management of locally advanced gastric cancer, complicated by recurrent hemorrhage, in the conditions of multi-specialty hospital

Alexey Vasilyevich Shabunin, Dmitrii Nikolayevich Grekov, Irina Yurievna Korzheva, Zurab Antonovich Bagateliya, Victor Nikolayevich Yakomaskin, Vladimir Andreevich Tsurkan, Anton Vladimirovich Gugnin, Serghei Covantev.




Abstract

One of the most widespread oncological diseases (second place after the lung cancer) is the gastric cancer, which remains one of the leading causes of cancer-related deaths, even though its incidence is decreasing and there are newly available treatment options. Bleeding is a relatively common phenomenon in patients with solid neoplasms, occurring in up to 10% of all patients in advanced stages of cancer. Management of bleeding in case of advanced stages of gastric cancer remains a complicated surgical problem. This article describes a case of stepwise treatment of a patient with locally advanced gastric cancer, complicated by relapsing hemorrhage in the setting of multi-specialty hospital, highlighting the importance of multidisciplinary team work.

Key words: gastric cancer; hemorrhage; embolization; gastrectomy






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