Successful Treatment of Recurrent Gastric Cancer with Metastasis to the Abdominal Wall 17 Years after Remnant Gastrectomy—A Case Report

A 64-year-old man underwent distal gastrectomy for early gastric cancer in 1990, and total gastrectomy for remnant gastric cancer in 1997. The patient noticed a tumor on the upper abdominal wall in 2013, and adenocarcinoma was detected by biopsy in September 2014. Further examination did not reveal...

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Published inNihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 77; no. 2; pp. 351 - 357
Main Authors KAWASHIMA, Hiroshi, DEMURA, Koichi, IMAGAWA, Atsuo, OGAWA, Masao, KAWASAKI, Masayasu, KAMEYAMA, Masao
Format Journal Article
LanguageJapanese
Published Japan Surgical Association 2016
Subjects
abdominal wall metastasis
chemoradiotherapy
remnant gastric cancer
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Summary:A 64-year-old man underwent distal gastrectomy for early gastric cancer in 1990, and total gastrectomy for remnant gastric cancer in 1997. The patient noticed a tumor on the upper abdominal wall in 2013, and adenocarcinoma was detected by biopsy in September 2014. Further examination did not reveal any other metastases. The tumor and remnant gastric cancer specimen showed similar patterns on pathological examination. We therefore diagnosed recurrent gastric cancer with metastasis to the abdominal wall. The patient was administered chemotherapy comprising 2 courses of capecitabine plus cisplatin. Tumor size was reduced, and surgery was then performed. Postoperatively, chemoradiotherapy was performed because of positive margins. To date, the patient has remained in good health without any cancer recurrence.
ISSN:1345-2843
1882-5133
DOI:10.3919/jjsa.77.351