Journal of Cancer Therapy

Volume 5, Issue 14 (December 2014)

ISSN Print: 2151-1934   ISSN Online: 2151-1942

Google-based Impact Factor: 0.30  Citations  h5-index & Ranking

A New Early Gastric Cancer after Subtotal Gastric Resection for Early Cancer: Case Report and Review of the Literature

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DOI: 10.4236/jct.2014.514146    3,891 Downloads   4,916 Views  

ABSTRACT

Although the prognosis of early gastric cancer (EGC) is considered to be satisfactory, some patients experience tumor relapse after curative surgery. Both pathogenesis and risk factors of recurrence remain unclear. We describe a case report of a 49-year-old male who underwent subtotal gastric resection D2A for angular gastric cancer. Histological examination revealed gastric adenocarcinoma with low grade of differentiation and colloid areas, intramucosal, and absence of neoplastic proliferation in the surgical margins, in omental stroma and in the six examined lymph nodes (pT1, pN0). 11 years later, the same patient underwent D2 total gastrectomy for gastric cancer in the remnant stomach. New histological examination revealed again gastric adenocarcinoma, intramucosal, medium degree of differentiation, no documentable neoplastic proliferation within the limits of surgical resection, in the thirty-three examined lymph nodes and in the omentum (pT1, pN0).

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Bruno, L. , Barni, L. , Nesi, G. , Pacciani, S. , Masini, G. , Melli, F. , Maltinti, G. , Zalla, T. , Dioscoridi, L. , Taddei, A. , Freschi, G. and Bechi, P. (2014) A New Early Gastric Cancer after Subtotal Gastric Resection for Early Cancer: Case Report and Review of the Literature. Journal of Cancer Therapy, 5, 1450-1453. doi: 10.4236/jct.2014.514146.

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