Gastric stump carcinoma after partial gastrectomy for benign gastric lesion: what is feasible as standard surgical treatment?
METHODS
Clinicopathological features and prognostic factors were evaluated in 26 cases of stump carcinoma, operated on in the recent 20 years, in search of the standard surgical treatment.


BACKGROUND
Stump carcinoma usually emerges more than 20 years after the initial gastrectomy and is often not diagnosed in the early clinical stage, resulting in a significantly low incidence of curative resection compared with primary gastric carcinoma.


RESULTS
No improvement in the survival curves for stump carcinoma was observed between the past two decades. Nodal metastases were frequently found within the first tier nodes, and no 5-year survivor was found among the patients with nodal metastasis beyond pN1.


CONCLUSIONS
Subtotal gastrectomy might suffice for the treatment of stomal cancer, and most patients might not benefit from extensive lymphadenectomy.
Kodera
Y
Y
Department of Gastroenterological Surgery, Aichi Cancer Center, Nagoya, Japan.
Yamamura
Y
Y
Torii
A
A
Uesaka
K
K
Hirai
T
T
Yasui
K
K
Morimoto
T
T
Kato
T
T
Kito
T
T
D002277:Carcinoma / Q000401:mortality / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D018530:Gastric Stump; D006801:Humans; D015994:Incidence; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013274:Stomach Neoplasms / Q000401:mortality / Q000601:surgery*; D016019:Survival Analysis; D016896:Treatment Outcome