Abstract
In cases of isolated Virchow's node recurrence after resection for gastric cancer surgical therapy and chemotherapy may occasionally improve survival. A 76-year-old man who underwent total gastrectomy with splenectomy because of type 3 advanced gastric cancer, which was pathologically wrative, in May 1997, underwent adjuvant chemotherapy. Left supra-clavicular lymph-node swelling was observed 1 year and 1 month after the operation. Two swollen lymph nodes were surgically resected because no other site of distant metastasis was found. Pathological test revealed 2 Virchow's nodes due to gastric cancer metastasis. One year and 5 months after gastrectomy, two swollen Virchow's nodes were found again, and were removed as metastatic lymph nodes. The Virchow's because of self-metastasis. In 2 years and 10 months after gastrectomy, Virchow's node metastasis recurred 3 times, necessitating resection of 3 Virchow's nodes. The patient is alive 12 years and 8 months after recurrence.
