title: Local recurrence of gastric cancer after total gastrectomy: an unusual presentation.
abstract: A 71 years old Italian man had type 3 gastric cancer of the greater curvature. Total gastrectomy with splenectomy and D2 lymph node dissection were performed. After discharge chemotherapy ELF regimen was administered for 6 months. After 16 months from the operation a local recurrence was discovered by CT scan. Surgical en-bloc resection was performed removing pancreatic tail, splenic colic flexure and a portion of left diaphragm. Histological examination confirmed local recurrence of gastric adenocarcinoma infiltrating pancreas, colon and diaphragm with lymph node metastasis.
authors.affiliation: Department of Molecular Medicine, University of Padua, Italy. bruno.martella@sanita.padova.it
authors.forename: Bruno
authors.initials: B
authors.lastname: Martella
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Cardin
authors.forename: Renata
authors.initials: R
authors.lastname: Lorenzetti
authors.forename: Claudio
authors.initials: C
authors.lastname: Terranova
authors.forename: Bruno
authors.initials: B
authors.lastname: Amato
authors.forename: Carmelo
authors.initials: C
authors.lastname: Militello
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D000368:Aged; D000970:Antineoplastic Agents / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D005047:Etoposide / Q000627:therapeutic use; D005472:Fluorouracil / Q000627:therapeutic use; D005743:Gastrectomy; D006801:Humans; D058766:Levoleucovorin / Q000627:therapeutic use; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging* / Q000473:pathology; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed
chemical_list: D000970:Antineoplastic Agents; D005047:Etoposide; D058766:Levoleucovorin; D005472:Fluorouracil