RESECTION FOR LOCAL RECURRENCE AFTER TOTAL GASTRECTOMY FOR GASTRIC CANCER IN ONE PATIENT

Abstract

We experienced a case of local recurrence after total gastrectomy for gastric cancer, which was successfully resected by the left thoraco-abdominal approach. A 62-year-old man complained of dysphagia 6 years and 9 months after total gastrectomy for gastric cancer although neither macroscopic nor microscopic cancer cells were found at the oral surgical margin of the resected stomach. Endoscopy showed an irregular narrowing of the esophagojejunostomy, and recurrence of gastric cancer was diagnosed pathologically by biopsy. The patient refused operation and underwent chemotherapy, however, after 1 year and 4 months, resection was performed successfully. That specimen removed the same pathological findings as the first resection, mucinous adenocarcinoma with signet ring cell carcinoma. No recurrence has been found 6 years and 5 months after the second operation.