Article

[A case of resected endocrine cell carcinoma in the remnant stomach].

Department of Surgery, Nara Medical University.
Nippon Shokakibyo Gakkai zasshi The Japanese journal of gastro-enterology 07/2010; 107(7):1139-45.
Source: PubMed

ABSTRACT We report a rare case of resected endocrine cell carcinoma in the remnant stomach. A 68-year-old man had undergone laparoscopy-assisted distal gastrectomy for gastric cancer. Eleven months later, postoperative endoscopy survey showed a flat, depressed lesion in the posterior wall of the remnant gastric cardia. After 3 months, endoscopic re-examination indicated that the tumor had grown rapidly and had changed in shape. Endocrine cell carcinoma was diagnosed by biopsy. He then underwent total resection of the remnant stomach with lymph node dissection. Although adjuvant chemotherapy was given, multiple liver metastases and lymph node recurrence were found 13 months after the second surgery. A new regimen of chemotherapy was not effective and he died 18 months after surgery.

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Keywords

13 months
 
68-year-old man
 
Endocrine cell carcinoma
 
endoscopic re-examination
 
gastric cancer
 
laparoscopy-assisted distal gastrectomy
 
multiple liver metastases
 
new regimen
 
posterior wall
 
postoperative endoscopy survey
 
rare case
 
remnant gastric cardia
 
resected endocrine cell carcinoma
 
total resection