Laparoscopic Resection of Gastric Cancer in a Patient with Chronic Lymphocytic Leukemia Accompanied by Neutropenia

Anticancer Res. 2016 Apr;36(4):1779-83.

Abstract

Aim: We report an unusual case of early gastric cancer and T-cell-type chronic lymphocytic leukemia accompanied by severe neutropenia that was successfully treated by laparoscopic gastrectomy.

Case report: A 76-year-old female was referred to our Hospital for resection of a gastric adenoma that was suspicious for malignancy. Routine preoperative laboratory studies showed severe neutropenia and increased atypical lymphocytes in the peripheral blood. Bone marrow biopsy confirmed the diagnosis of T-cell chronic lymphocytic leukemia. One day before surgery, granulocyte colony-stimulating factor was administered. Laparoscopic-assisted distal gastrectomy was performed. The patient's postoperative course was uneventful and she was discharged after 10 days. The histopathological findings revealed well-differentiated adenocarcinoma (pT1a, pN0, and stage IA).

Conclusion: Laparoscopic gastrectomy may be considered a primary approach in patients with neutropenia because it is associated with lower risk of postoperative infection and a lower mortality rate compared to open resection.

Keywords: Gastric cancer; chronic lymphocytic lymphoma; laparoscopic-assisted distal gastrectomy; neutropenia.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology
  • Aged
  • Female
  • Gastrectomy / methods
  • Humans
  • Laparoscopy / methods
  • Leukemia, Lymphocytic, Chronic, B-Cell / pathology*
  • Leukemia, Lymphocytic, Chronic, B-Cell / surgery*
  • Neutropenia / pathology*
  • Neutropenia / surgery*
  • Stomach Neoplasms / pathology*
  • Stomach Neoplasms / surgery*