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Long-term Survivals after the Second Operation for Carcinoma in the Gastric Remnant Recurring more than Five Years after Operation: Report of two cases M. Furusawa 1 , K. Soezima 2 1Dept. of Surgery, National Kyushu Cancer Center 22nd Dept. of Surgery, Faculty of Medicine, Kyushu University pp.53-60
Published Date 1977/1/25
DOI https://doi.org/10.11477/mf.1403112418
  • Abstract
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 Case reports: Case 1. The patient was a woman, 47 year-old at the time of the first operation. Recurrent carcinoma in the gastric remnant was noted seven years and six months later. She has been alive for ten years after the second operation. Pathological examination revealed that primary lesion was located in the lesser curvature of the corpus around a linear ulcer for an area of 7.0×8.0 cm, Ⅱa in gross type. Histological examination revealed papillary adenocarcinoma, INFα, m, no metastases, and positive cancer cell at the oral stump. Histologically recurrent carcinoma was well-differentiated tubular adenocarcinoma, INFβ, and se. She has been alive for 17 years and six months after the first operation.

 Case 2. The patient was a man, 58 year-old at the time of the first operation. Recurrence in the gastric remnant was noted seven years later. The second operation was performed nine years and seven months after the first. The primary lesion, Borrmann type Ⅱ, was located in the greater curvature of the antrum for an area of 5.5×4.0 cm. Pathological examination revealed papillary adenocarcinoma, INFα, sm, no metastases, and no cancer cell within 6.0 cm of the oral stump. Recurrent carcinoma was histologically muconodular adenocarcinoma, INFβ, and se. He has been alive for 13 years and two months after the first operation.

 We have come across 15 patients with carcinoma in the gastric remnant recurring more than five years after operation. In the first operation,8 of 15 cases was early or early-like advanced stomach carcinoma. In the pathological examination of the first operation, five cases revealed positive cancer cell at the oral stump of the resected specimen. In these cases, carcinoma at the orae stump of the specimen was confined to the mucosa. In 11 of 15 cases (73.3%), the second operation was possible. In only two cases (13.3%) curative surgery was successfully performed. Average survival term for the second non-curative operation was 7.1 months.


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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