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

Autor:	Antonio Taddei, Sabrina Pacciani, Gabriella Nesi, Lorenzo Bruno, Lorenzo Dioscoridi, Paolo Bechi, Tiku Zalla, Filippo Melli, Gherardo Maltinti, Gaia Masini, Giancarlo Freschi, Lucia Barni
Rok vydání:	2014
Předmět:	medicine.medical_specialty Early cancer business.industry medicine.medical_treatment digestive oral and skin physiology Cancer medicine.disease digestive system diseases Early Gastric Cancer Surgery Pathogenesis Stroma medicine Gastrectomy Lymph Gastric resection business
Zdroj:	Journal of Cancer Therapy. :1450-1453
ISSN:	2151-1942 2151-1934
DOI:	10.4236/jct.2014.514146
Popis:	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).
Databáze:	OpenAIRE
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