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Three Cases of recurrent Gastric Cancer more than Ten Years after the Initial Operation H. Hoshino 1 , K. Hoshi 1 , T. Murakami 1 , T. Kataoka 2 1Fist Department of Surgery, Tokyo Medical and Dental University 2Department of Surgery, Showa University School of Medicine pp.41-46
Published Date 1977/1/25
DOI https://doi.org/10.11477/mf.1403112416
  • Abstract
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 Recently, we have encountered 3 cases of recurrent cancer more than ten years after the initial operation.

 Case 1. A 81-year-old female had undergone gastrectomy in June 1959. The resected specimen had shown Ⅱb type of early cancera long the lesser curvature. Microscopically the oral margin had not been free from cancerous infiltration. Then 16 years after surgery, the recurrence of cancer was recognized extending from the gastro-duodenal stump up to the esophageal mucosa. She had second operation in March 1975. This case is classified as the stump recurrence type.

 Case 2. A 49-year-old female had undergone radical gastrectomy in June 1965. Microscopic study had confirmed the type Ⅱa+Ⅱc of early gastric cancer. Ten years after the operation, recurrence of the cancer was diagnosed by endoscopic biopsy. The rest of the stomach was resected in June 1975, the specimen demonstrating cancerous infiltration on the abdominal esophagus away from the stump. This recurrent pattern is considered to be nonsimultaneous multiple cancer.

 Case 3. A 68-year-old male had undergone absolute curative operation in Oct. 1960, and the lesion had been confirmed as the type pm of advanced gastric cancer. The recurrence of cancer was found in Oct. 1975, or 15 years after the first operation. As in Case 2, this recurrent pattern is considered the nonsimultaneous multiple cancer.

 These three cases seem to show that the recurrence of cancer following the operation of early gastric cancer takes relatively long time, and for estimating the operative cure rate 10-year survival rate seems to be more reasonable than 5-year survival rate. As advanced gastric cancer tends to show relatively short recurrent period after surgery, Case 3 seems an extremely rare one, which developed apparent recurrence after more than ten years.


Copyright © 1977, 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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