A Case of Locally Recurrent Gastric Cancer at Kim's Tie Site of the Jejunum after a Total Gastrectomy
Journal of the Korean Gastric Cancer Association
;
: 52-56, 2005.
Article
in Korean
| WPRIM
| ID: wpr-150769
ABSTRACT
Despite improvements in the surgical treatment of gastric adenocarcinomas, the recurrence rates remain high in patients with advanced-stage disease. Most of the recurrence occurs within 3 years of the surgical resection, and nearly 90% of the patients with recurrence die within 2 years of the diagnosis of recurrence. A recent study analyzed recurrence patterns for patients who had undergone a potentially curative gastrectomy. For those patients, 33% of the recurrences involved locoregional sites, 44% the peritoneum, and 38% distant sites. A 51-year-old female patient was diagnosed with stomach cancer and underwent a total gastrectomy with D2 lymph node dissection during Oct. 1999. The pathologic report indicated a T3N1M0 tumor. We performed immunochemotherapy for 2 years with regular follow up. A gastrofiberscopic examination done during Sep. 2004, cancer recurrence was found at the *Kim's tie site of the jejunual loop. We did an abdominal exploration and a segmental resection of cancer site with pathologically negative resection margins. After the operation, we started secondary chemotherapy with TS-1.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritoneum
/
Recurrence
/
Stomach Neoplasms
/
Adenocarcinoma
/
Follow-Up Studies
/
Diagnosis
/
Drug Therapy
/
Gastrectomy
/
Jejunum
/
Lymph Node Excision
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Gastric Cancer Association
Year:
2005
Type:
Article
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