Hao JQ, Hu SY, Zhuang ZX, Zhang YJ, Zhang JW, He FJ, Zhuang W, Wang MJ. Distant metastasis in the right inguinal area from gastric cancer: A case report. World J Gastrointest Surg 2025; 17(2): 100244 [DOI: 10.4240/wjgs.v17.i2.100244]
Corresponding Author of This Article
Mo-Jin Wang, Doctor, Chief Physician, Gastric Cancer Center, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu 610041, Sichuan Province, China. wangmojin2001@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Jia-Qi Hao, Yu-Jie Zhang, Jia-Wan Zhang, Feng-Jun He, Wen Zhuang, Mo-Jin Wang, Gastric Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Shu-Yue Hu, Department of Neonatology, Children's Hospital of Chongqing Medical University, Chongqing 401122, China
Zi-Xuan Zhuang, Colorectal Cancer Center, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Hao JQ, He FJ, Zhang JW and Y Zhang YJ collected the images; Hao JQ and Hu SY wrote the main manuscript text; Hao JQ and Zhuang ZX designed the study; Wang MJ and Zhuang W critically reviewed the manuscript. All authors have read and agreed to the published version of the manuscript.
Informed consent statement: Consent was obtained from the patient, both verbally and in written form, and has been attached to this submission.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mo-Jin Wang, Doctor, Chief Physician, Gastric Cancer Center, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu 610041, Sichuan Province, China. wangmojin2001@163.com
Received: August 11, 2024 Revised: November 11, 2024 Accepted: December 18, 2024 Published online: February 27, 2025 Processing time: 164 Days and 5.6 Hours
Abstract
BACKGROUND
Gastric cancer is the fifth most common cancer and the fourth leading cause of death worldwide. Most cases of newly diagnosed gastric cancer involve not only locally advanced tumor growth and regional lymph node metastases but also distant metastases. We report a rare case finding of a mass in the right inguinal area which is derived from gastric cancer.
CASE SUMMARY
A 68-year-old male initially diagnosed with an inguinal hernia presented with a 2 cm mass in the right inguinal area. Gastrointestinal symptoms led to the discovery of a stomach tumor. Biopsy confirmed gastrointestinal adenocarcinoma. The diagnosis was advanced gastric cancer with peritoneal dissemination, and the inguinal mass was due to direct infiltration. Due to gastrointestinal bleeding, the patient underwent palliative gastrectomy and lymph node dissection. Postoperatively, the patient received hyperthermic intraperitoneal chemotherapy and localized radiation therapy.
CONCLUSION
This case indicates that a systematic evaluation should be conducted during the initial consultation to explore the potential connection between unrecognized distant masses and the primary tumor.
Core Tip: This case highlights the importance of thorough evaluation in patients presenting with unusual masses, such as an inguinal mass, to identify potential distant metastases from primary gastric cancer. Early diagnosis and multidisciplinary treatment, including palliative surgery, hyperthermic intraperitoneal chemotherapy, and radiation, can improve patient management in advanced gastric cancer.
