FUNGATING CARCINOMA OF THE STOMACH - EN-BLOC MULTIPLE ORGAN RESECTIONAND ABDOMINAL-WALL RECONSTRUCTION

A patient with carcinoma of the stomach invading multiple adjacent org ans and fungating through the anterior abdominal wall was treated by e n bloc multiple organ resection and abdominal wall reconstruction. The patient is alive and well at the time of writing, six months after th e operation. The rationale for embarking on multiple organ resection f or gastric cancer is discussed. However, such an aggressive surgical a pproach should only be applied to carefully selected patients who are medically fit and have no evidence of widespread systemic metastases.