An unusual case of recurrent gastric cancer long after the first gastrectomy due to adenocarcinoma.
AbstractThe postgastrectomy recurrence rate is as high as 30-65%, with 5-year overall survival rates of <20%. Local recurrence is very common which occurs in 38-45% of cases. The most common sites of locoregional recurrence are the gastric remnant at the anastomosis, the gastric bed, and the regional nodes. The recurrence may occur as early and late events after gastrectomy. Most recurrences are early, within three years of surgery. Numerous studies reported the late recurrences, but most of them having a survival time of less than ten years. This report elucidates a case of recurrent gastric cancer after 24 years postoperatively.
Lee HJ, Kim YH, Kim WH, et al. Clinicopathological Analysis for Recurrence of Early Gastric Cancer. Jpn J Clin Oncol 2003;33(5):209-14.
Shiraishi N, Inomata M, Osawa N, et al. Early and late recurrence after gastrectomy for gastric carcinoma. Univariate and multivariate analyses. Cancer 2000;89(2):255-61.
Ogata K, Mochiki E, Yanai M, et al. Factors correlated with early and late recurrence after curative gastrectomy for gastric cancer. Hepatogastroenterology 2009;56(96):1760-4.
Yokota T, Saito T, Teshima S, et al. Early and late recurrences after gastrectomy for gastric cancer: a multiple logistic regression analysis. Ups J Med Sci 2002;107(1):17-22.
Sakar B, Karagol H, Gumus M, et al. Timing of death from tumor recurrence after curative gastrectomy for gastric cancer. Am J Clin Oncol 2004;27(2):205-9.
Ikeda Y, Saku M, Kishihara F, et al. Effective follow-up for recurrence or a second primary cancer in patients with early gastric cancer. Br J Surg 2005;92(2):235-9.
Mikami K, Maekawa T, Shinohara T, et al. Predictive factors of early recurrent death after a curative resection of gastric cancer. Int Surg 2009;94(2):144-8.
Choi SY, Lee JI, Noh TJ, et al. A case of stump MALT lymphoma after partial gastrectomy. Korean J Gastroenterol 2006;47(5):394-6.