Recurrence of Cutaneous and Lymph Node Metastases 12 years after Radical Total Gastrectomy for Stage IIA Gastric Cancer: A Case Report

Takeshi Yasuda; Sadanari Hayashi; Yuki Nakahata; Yuriko Yasuda; Tatsushi Omatsu; Akihiro Obora; Takao Kojima; Nobuaki Yagi

doi:10.2169/internalmedicine.3847-19

This article has now been updated. Please use the final version.

Recurrence of Cutaneous and Lymph Node Metastases 12 years after Radical Total Gastrectomy for Stage IIA Gastric Cancer: A Case Report

Takeshi Yasuda, Sadanari Hayashi, Yuki Nakahata, Yuriko Yasuda, Tatsushi Omatsu, Akihiro Obora, Takao Kojima, Nobuaki Yagi

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Keywords: gastric cancer, cutaneous metastases, late recurrence, radical total gastrectomy

JOURNAL OPEN ACCESS Advance online publication

Article ID: 3847-19

DOI https://doi.org/10.2169/internalmedicine.3847-19

The final version of this article is now available: Vol. 59 (2020), No. 11 pp. 1387-1393

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Abstract

We herein report a rare case of cutaneous and lymph node metastases that recurred 12 years after radical total gastrectomy for stage IIA gastric cancer. A 62-year-old man had undergone total gastrectomy for stage IIA gastric cancer 12 years earlier without postoperative adjuvant chemotherapy. At 12 years after the surgery, he was admitted for left jugular swelling. Computed tomography revealed supraclavicular lymph node swelling and precordial subcutaneous edema. The lymph node specimens and cutaneous biopsies indicated late recurrence of the gastric cancer. Concurrent chemoradiotherapy was administered effectively, but after eight months, the patient died due to deterioration in his general condition.

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