Copyright
©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 6, 2018; 6(15): 1024-1028
Published online Dec 6, 2018. doi: 10.12998/wjcc.v6.i15.1024
Published online Dec 6, 2018. doi: 10.12998/wjcc.v6.i15.1024
Gastric cancer with severe immune thrombocytopenia: A case report
Zhe-Wei Zhao, Wei-Ming Kang, Zhi-Qiang Ma, Xin Ye, Jian-Chun Yu, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China
Author contributions: Zhao ZW and Yu JC drafted this manuscript; Kang WM and Yu JC performed the operation for this patient; Ma ZQ and Ye X analyzed the patient data and prepared the figures; all authors read and approved the final manuscript.
Informed consent statement: Consent was obtained from relatives of the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
Open-Access: 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/
Correspondence to: Jian-Chun Yu, MD, Chief Doctor, Professor, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, No. 1, Shuaifuyuan, Dongcheng District, Beijing 100730, China. yjcpumch@126.com
Telephone: +86-10-69155067 Fax: +86-10-69155068
Received: August 16, 2018
Peer-review started: August 17, 2018
First decision: October 8, 2018
Revised: October 31, 2018
Accepted: November 7, 2018
Article in press: November 7, 2018
Published online: December 6, 2018
Peer-review started: August 17, 2018
First decision: October 8, 2018
Revised: October 31, 2018
Accepted: November 7, 2018
Article in press: November 7, 2018
Published online: December 6, 2018
Core Tip
Core tip: Immune thrombocytopenia (ITP) is a rare autoimmune disease with a reduced platelet count. Severe and medically refractory thrombocytopenia is an absolute contraindication to chemotherapy or radiotherapy. For those patients with a malignant tumor, surgical treatment may be the only option despite a high risk of bleeding. This case might contribute to improving our understanding of the behavior and perioperative management of severe and medically refractory ITP patients with gastric cancer.