Long-term Survival after Local Recurrence from Gastric Cancer: Report of a Case

Hidehisa Yamada, Takayuki Morita, Miyoshi Fujita, Yuji Miyasaka, Naoto Senmaru, Taro Oshikiri and Hiroyuki Katoh*

Hokkaido Gastroenterology Hospital
Department of Surgical Oncology, Hokkaido University Graduate School of Medicine*

A 63-year-old man undergoing distal gastrectomy for gastric cancer in August 3, 1994 was found in computed tomography to have a tumor near the gastroduodenal anastomosis and the pancreas head in July, 1996. Isolated tumor growth was detected. Diagnosing local recurrence of gastric cancer, we undertook pancreaticoduodenectomy in November 6, 1997. Tumor was adhesive to the pancreas head and the gastroduodenal anastmosis. It was difficult to divide between tumor and panereas because we could not judged invasion or adhesion macroscopically. Histological examination showed the tumor to be moderately differentiated adenocarcinoma without pancreatic invasion. The man remains alive and well with no evident recurrence 6.5 years after metastasectomy. The surgical treatment of local recurrence from gastric cancer may thus ensure a long-term survival.

Key words
early gastric cancer, local recurrence, pancreaticoduodenectomy

Reprint requests
Hidehisa Yamada Department of Surgery, Hokkaido Gastroenterology Hospital
Honcho 1Jo 1-2-10 Higashi-Ku, Sapporo, 065-0041 JAPAN

Accepted
July 28, 2004

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