title: [Resection of local recurrent gastric cancer following total gastrectomy].
abstract: We report a case of patient who underwent resection for local recurrent gastric cancer at the anastomotic site curatively. The patient was a 72 years old male with a history of undergoing total gastrectomy for gastric cancer located at the gastric cardia in February 2005. The histological findings of the resected tumor showed a Type 3 advanced gastric cancer invaded into subserosa in the cardia of the stomach with positive lymphatic and venous invasion and lymph node metastasis. The histological diagnosis was moderately differentiated tubular adenocarcinoma. Both the proximal and distal margins were negative for cancer. Endoscopy, 4 years after the first operation, showed a recurrent tumor at the site of esophago-jejunal anastomosis. A resection of the tumor was carried out curatively through the left thoraco-abdominal approach in June 2009. We recommend a resection of anastomotic recurrence especially if it occurs from the first operation in the long interval.
authors.affiliation: Dept. of Surgery, Tokyo Metropolitan Ohtsuka Hospital.
authors.forename: Takatoshi
authors.initials: T
authors.lastname: Matsuyama
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Izumi
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ito
authors.forename: Hiromi
authors.initials: H
authors.lastname: Tokita
authors.forename: Yasuhito
authors.initials: Y
authors.lastname: Iwao
authors.forename: Kiyotaka
authors.initials: K
authors.lastname: Nishida
authors.forename: Kentaro
authors.initials: K
authors.lastname: Sakamoto
authors.forename: Takashi
authors.initials: T
authors.lastname: Hosokawa
authors.forename: Noriyasu
authors.initials: N
authors.lastname: Chika
authors.forename: Masaki
authors.initials: M
authors.lastname: Kakimoto
authors.forename: Sonjin
authors.initials: S
authors.lastname: Park
authors.forename: Tetsunori
authors.initials: T
authors.lastname: Yoshimura
authors.forename: Haruya
authors.initials: H
authors.lastname: Koshiishi
authors.forename: Takashi
authors.initials: T
authors.lastname: Okamura
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D000714:Anastomosis, Surgical; D005743:Gastrectomy; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D012086:Reoperation; D013274:Stomach Neoplasms / Q000601:surgery*