Bone and Bone Marrow Recurrence from Gastric Carcinoma Developed more than Five Years After Operation: Three Cases

Hiroaki Mieno, Taira Kinoshita, Masaru Konishi, Toshio Nakagouri, Shinichirou Takahashi and Naoto Gotohda

Department of Surgery, National Cancer Center Hospital East

We present three cases featuring a very late and unusual recurrence of gastric cancer. As for the three cases, bone and bone marrow metastasis was observed 5.6 years and 6.8 years and 7.3 years after the initial curative surgery, respectively. In the three cases, common characteristics were a relatively younger age, the diffuse type adenocarcinoma and prominent lymphatic metastaseis. Gastric cancer recurs usually within 5 years after initial surgery. Even though metastasis to the bone/bone marrow is uncommon in patient with gastric carcinoma, the possibility of late recurrence of this type should be recognized.

Key words
gastric cancer, bonemarrow metastasis, late recurrence

Reprint requests
Hiroaki Mieno Department of Surgery, National Cancer Center Hospital East
6-5-1 Kashiwanoha, Kashiwa, 277-8577 JAPAN

Accepted
March 22, 2006

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