title: Early Gastric Cancer Recurrence Following Curative Resection Presenting as Biliary Tract Dilatation, Pancreatic Duct Dilatation and Intestinal Wall Thickening.
abstract: Early gastric cancer, especially cancer confined to the mucosa (stage T1a), is known to have a high cure rate with rare recurrence. We herein report the case of a 40-year-old female who initially presented with biliary tract dilatation, pancreatic duct dilatation and intestinal wall thickening 3 years after curative resection of pT1aN0 stage gastric cancer. The intestinal resection specimen revealed tumor cells spreading through the subserosa to the submucosa sparing mucosal membrane, which made exploratory laparotomy the only approach to confirm the diagnosis. It is always important to be aware of malignancy recurrence and clinicians should not hesitate to choose exploratory laparotomy to avoid any delay in the diagnosis and treatment.
authors.affiliation: Department of Gastroenterology, Japanese Red Cross Medical Center, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kato
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Ito
authors.forename: Eri
authors.initials: E
authors.lastname: Tanaka
authors.forename: Kensaku
authors.initials: K
authors.lastname: Noguchi
authors.forename: Shinzo
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Taniguchi
authors.forename: Hideo
authors.initials: H
authors.lastname: Yoshida
authors.forename: Toshio
authors.initials: T
authors.lastname: Kumasaka
authors.forename: Ryo
authors.initials: R
authors.lastname: Nakata
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000855:Anorexia / Q000209:etiology; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001659:Biliary Tract / Q000473:pathology*; D001662:Biliary Tract Surgical Procedures / Q000379:methods; D017024:Chemotherapy, Adjuvant; D004108:Dilatation, Pathologic / Q000601:surgery; D005260:Female; D005704:Gallbladder / Q000473:pathology*; D006801:Humans; D007422:Intestines / Q000473:pathology; D007813:Laparotomy; D009325:Nausea / Q000209:etiology; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000601:surgery; D010183:Pancreatic Ducts / Q000473:pathology*; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome