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A Report of a Case of a Recurrent Cancer in a Post-Operative Stomach after Six Years of Resection of the Type I Early Cancer Katsuji Okui 1 1First Department of Surgery, Chiba University pp.587-592
Published Date 1970/5/25
DOI https://doi.org/10.11477/mf.1403111279
  • Abstract
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 The subject is a farmer (male) 63 years of age. At a mass survey done in October, 1962, he was told that he needed a close examination, and received it at the First Department of Medicine, Chiba University. His lesion was diagnosed as a Type I early cancer (polyooid cancer), and on 4 th December, 1962 gastrectomy was performed. The pathological finding of the resected specimen was adenocarcinoma papillotubulare. It was an early cancer with infiltration limited to the mucosa. The metastasis of the lymphgland could not be seen, and radical resection was completed.

 In around October, 1968, six years after the operation, he visited our hospital with chief complaints of decrease of appetite and dysphagia. The x-ray and the gastrocamera examinations revealed a postoperative gastric cancer. On 14 th January, 1969, the simultaneous resections of the postoperative stomach, spleen and tail of the pancreas were performed. The infiltration, recognized in the whole area of the gastric remnant, reached the serosa. No metastasis of the liver existed. The metastasis of the lymphgland was recognized at the hilus of the spleen and around the cardia. The macroscopical finding was a gastric cancer, Borrmann's type Ⅳ and adenocarcinoma tubulare. the deep infiltration reached the serosa. The post operation course was favorable, and he left the hospital. About six months later, however, the swelling-up of the liver and the accumulation of ascites were recognized, and he died on 10th August of the same year (1969).

 Recurrent patterns of early gastric cancer are mostly observed at the stoma with its infiltration, and remote metastases are caused by vascular invasions. However, the fact that the case reported here cannot be included in either of these with its histopathological fiindings being of different features in their details seems to indicate that an independent primary tumor arose in the gastric remnant. It is thus of interest both clinically and carcinigenically.


Copyright © 1970, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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