Laparoscopic resection of gastric cancer in a patient with chronic lymphocytic leukemia accompanied by neutropenia

Yuichiro Nakashima, Ryota Nakanishi, Masahiko Sugiyama, Kippei Ohgaki, Hideto Sonoda, Hiroshi Saeki, Eiji Oki, Ayumi Matsuyama, Takashi Maeda, Shinichi Tsutsui, Hiroyuki Matsuda, Teruyoshi Ishida, Yoshihiko Maehara

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)1779-1783
Number of pages5
JournalAnticancer research
Issue number4
Publication statusPublished - Apr 2016

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research


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