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

Lorenzo Bruno^1*, Lucia Barni¹, Gabriella Nesi², Sabrina Pacciani¹, Gaia Masini¹, Filippo Melli¹, Gherardo Maltinti¹, Tiku Zalla¹, Lorenzo Dioscoridi¹, Antonio Taddei¹, Giancarlo Freschi¹, Paolo Bechi¹

¹Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.
²Division of Pathological Anatomy, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.

DOI: 10.4236/jct.2014.514146                

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).

Keywords

Early Gastric Cancer, Remnant Gastric Cancer, Long Term Follow-Up

Conflicts of Interest

The authors declare no conflicts of interest.

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