Resection of local recurrent gastric cancer following total gastrectomy

Takatoshi Matsuyama, Yosuke Izumi, Tetsuya Ito, Hiromi Tokita, Yasuhito Iwao, Kiyotaka Nishida, Kentaro Sakamoto, Takashi Hosokawa, Noriyasu Chika, Masaki Kakimoto, Sonjin Park, Tetsunori Yoshimura, Haruya Koshiishi, Takashi Okamura

Research output: Contribution to journalArticlepeer-review


We report a case of patient who underwent resection for local recurrent gastric cancer at the anastomotic site curatively. The patient was a 72 years old male with a history of undergoing total gastrectomy for gastric cancer located at the gastric cardia in February 2005. The histological findings of the resected tumor showed a Type 3 advanced gastric cancer invaded into subserosa in the cardia of the stomach with positive lymphatic and venous invasion and lymph node metastasis. The histological diagnosis was moderately differentiated tubular adenocarcinoma. Both the proximal and distal margins were negative for cancer. Endoscopy, 4 years after the first operation, showed a recurrent tumor at the site of esophago-jejunal anastomosis. A resection of the tumor was carried out curatively through the left thoraco-abdominal approach in June 2009. We recommend a resection of anastomotic recurrence especially if it occurs from the first operation in the long interval.

Original languageEnglish
Pages (from-to)2445-2447
Number of pages3
JournalJapanese Journal of Cancer and Chemotherapy
Issue number12
Publication statusPublished - Nov 2010
Externally publishedYes


  • Gastric cancer
  • Resection of local recurrence
  • Total gastrectomy


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