Five-year Survival Associated with Stage I Gastric Cancer after Resection of Early Recurrence at Nodal Station No. 14v: a Case Report
Journal of Gastric Cancer
;
: 186-191, 2017.
Article
in English
| WPRIM
| ID: wpr-80093
ABSTRACT
The role of nodal station No. 14v (along the superior mesenteric vein) in lymphadenectomy for distal gastric cancer remains elusive. A 73-year-old woman underwent endoscopic submucosal dissection for gastric cancer, and was referred to our division for additional surgery because of pathologically non-curative resection. A laparoscopic distal gastrectomy with D1+ dissection was performed, with a final diagnosis of pT1bN1M0, Stage IB (2 nodal metastases to No. 6). Four months post-surgery, abdominal computed tomography revealed a 14-mm solitary nodule along the superior mesenteric vein. The lesion was excised and pathologically identified as a lymph node metastasis. Adjuvant chemotherapy with tegafur-gimeracil-oteracil potassium (S-1) was administered for the metastasis. Presently the patient survives without recurrence, 5.5 years after the second operation. Our findings suggest that there is lymphatic flow from the No. 6 to the No. 14v nodal station. Some patients with a No. 6 metastasis may benefit from a No. 14v lymphadenectomy, even in early-staged disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Potassium
/
Recurrence
/
Stomach Neoplasms
/
Chemotherapy, Adjuvant
/
Diagnosis
/
Early Detection of Cancer
/
Gastrectomy
/
Lymph Node Excision
/
Lymph Nodes
/
Mesenteric Veins
Type of study:
Diagnostic study
/
Prognostic study
/
Screening study
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Journal of Gastric Cancer
Year:
2017
Type:
Article
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