Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
A CASE OF INTRAMURAL METASTASIS OF GASTRIC CANCER DEVELOPED IN THE REMNANT STOMACH
Masaaki SHIMOYAMAYasuyuki KAWACHIMasayuki NAGAHASHIAtsushi NISHIMURAKeiya NIKKUNITakeaki SHIMIZU
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2004 Volume 65 Issue 2 Pages 385-389

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Abstract
Intramural metastasis of gastric cancer is very rare. We report herein a case of metastatic gastric carcinoma developed in the remnant stomach. A 63-year-old man seen at the hospital with the diagnosis of gastric cancer underwent distal gastrectomy in September, 2002. The histological diagnosis was papillary adenocarcinoma, ss, ly3, v3, n0. Three months later, serum CA19-9 level was elevated and an abdominal CT scan revealed multiple liver metastases. He received combination chemotherapy with TS-1 and taxol, but metastatic disease progressed. Three yamad III type tumors were visualized in the remnant stomach by endoscopic examination. With a suspicion of inframurol metastasis to the remnant stomach from gastric cancer, he was operated on in August, 2003. Total gastrectomy and hepatic arterial cannulation were performed. There were three tumors in the remnant stomach. Histological examination demonstrated papillary adenocarcinoma similar to that of gastric cancer one year before surgery-No postoperative complications occurred and he was discharged from the hospital on 19th postoperative day.
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