Local recurrence of gastric cancer after total gastrectomy: an unusual presentation

被引:3
|
作者
Martella, Bruno [1 ]
Cardin, Fabrizio [1 ]
Lorenzetti, Renata [1 ]
Terranova, Claudio [2 ]
Amato, Bruno [3 ]
Militello, Carmelo [1 ]
机构
[1] Univ Padua, Dept Mol Med, I-35100 Padua, Italy
[2] Univ Padua, Dept Surg & Gastroenterol Sci, I-35100 Padua, Italy
[3] Univ Naples Federico II, Dept Gen Surg, Naples, Italy
关键词
CURATIVE RESECTION; ADENOCARCINOMA;
D O I
10.1186/1471-2482-12-S1-S28
中图分类号
R61 [外科手术学];
学科分类号
摘要
A 71 years old Italian man had type 3 gastric cancer of the greater curvature. Total gastrectomy with splenectomy and D2 lymph node dissection were performed. After discharge chemotherapy ELF regimen was administred for 6 months. After 16 months from the operation a local recurrence was discovered by CT scan. Surgical en-bloc resection was performed removing pancreatic tail, splenic colic flexure and a portion of left diaphragm. Histological examination confirmed local recurrence of gastric adenocarcinoma infiltrating pancreas, colon and diaphragm with lymph node metastasis.
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页数:3
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