2024 Volume 57 Issue 5 Pages 231-239
We report the case of a 58-year-old man who underwent open distal gastrectomy for gastric cancer in July 2012. Pathological finding revealed a tumor with: L, less, tub2>por1, pT1b(SM2)N0M0, pStage IA. The patient was followed up postoperatively and CT 12 months after surgery revealed a mass lesion in the pancreatic head, which was diagnosed as a local recurrence. In August 2013, because there were no elevated tumor markers and no other recurrence findings on imaging, the patient underwent open pancreaticoduodenectomy, partial hepatectomy, and partial transverse colon resection. After reoperation, S-1 was administered orally for one year as adjuvant chemotherapy, followed by observation. Nine years after resection, the patient remains alive without recurrence. The disease was localized, and this case indicates that surgery is a treatment option for local recurrence of gastric cancer if radical resection is feasible.
