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Case Report J Gastric Cancer 2016;16(2):111-114 http://dx.doi.org/10.5230/jgc.2016.16.2.111 Copyrights © 2016 by The Korean Gastric Cancer Association www.jgc-online.org This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction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ase Report 5IF QBUJFOU XBT B ZFBSPME NBSSJFE XPNBO XIP QSF TFOUFE UP IFS MPDBM IPTQJUBM XJUI B IJTUPSZ PG BCEPNJOBM QBJO BOE IFBSUCVSO 5IFSF XBT OP IJTUPSZ PG GFWFS PS DPOUBDU XJUI 5# QBUJFOUT 4IF DPNQMBJOFE PG B DPVHI BOE HSBEF EZTQOFB XJUI OP IFNPQUZTJT 1IZTJDBM FYBNJOBUJPO SFWFBMFE EVMMOFTT XJUI EFDSFBTFE BJS FOUSZ JO UIF MFGU MPXFS DIFTU BOE B TPGU BCEPNFO XJUI OP SJHJEJUZ PS QBMQBCMF NBTTFT 4IF IBE B #BDJMMVT $BMNFUUF ‒ (V é SJO WBDDJOBUJPO TDBS "O VQQFS HBTUSPJOUFTUJOBM (* FOEPTDP QZ SFWFBMFE B DN VMDFSBUJWF FBSMZ HBTUSJD DBODFS JO UIF BOUSVN XJUI B CJPQTZ SFTVMU PG TJHOFU SJOH DFMM DBSDJOPNB 'JH $IFTU SBEJPHSBQIZ BOE DIFTU DPNQVUFE UPNPHSBQIZ $5 SFWFBMFE B MFGU QMFVSBM FGGVTJPO XJUI QMFVSBM OPEVMBSJUZ BOE MZNQIBEFOPQB UIZ 'JH "O BCEPNJOBM $5 TDBO SFWFBMFE EJGGVTF QFSJUPOFBM UIJDLFO pISSN : 2093-582X, eISSN : 2093-5641 Correspondence to: In Seob Lee Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea Tel: +82-2-3010-1728, Fax: +82-2-474-9027 E-mail: [email protected] Received February 26, 2016 Revised March 23, 2016 Accepted March 31, 2016 Gastric Cancer with Peritoneal Tuberculosis: Challenges in Diagnosis and Treatment Amer Saeed Alshahrani 1,2 and In Seob Lee 1 1 Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea 2 Department of Surgery, Security Forces Hospital, Riyadh, Saudi Arabia Herein, we report a 39-year-old female patient presenting with gastric cancer and tuberculous peritonitis. The differential diagnosis be- tween advanced gastric cancer with peritoneal carcinomatosis and early gastric cancer with peritoneal tuberculosis (TB), and the treat- ment of these two diseases, were challenging in this case. Physicians should have a high index of suspicion for peritoneal TB if the pa- tient has a history of this disease, especially in areas with a high incidence of TB, such as South Korea. An early diagnosis is critical for patient management and prognosis. A surgical approach including tissue biopsy or laparoscopic exploration is recommended to confirm the diagnosis. Key Words: Stomach neoplasms; Tuberculous peritonitis; Peritoneal carcinomatosis
