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The first case was that of a 59-year-old male patient admitted to our department with recalcitrant epigastric pain, who already had hepatitis B virus (HBV)-related cirrhosis for 8 years. Endoscopy revealed esophageal varices in the distal esophagus without bleeding and a 2.5 cm ulcer lesion on the lesser curvature of the stomach. Biopsies revealed signet ring cell carcinoma. The second case was that of a 66-year-old female patient with HBV cirrhosis who had undergone a gastroscopy; biopsy confirmed gastric antrum cancer, and she was referred to our hospital from another hospital. She had been diagnosed with HBV-related cirrhosis 6 years ago but had no episodes of gastrointestinal bleeding. Both patients had thrombocytopenia and leucopenia.

Laparoscopic splenectomy and subsequent oncologic gastric surgery in cirrhotic patients with portal hypertension and hypersplenism