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[Gastric cancer 826. Esophageal cancer after total gastrectomy for remant gastric cancer]
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About 30 years ago, partial gastrectomy was done for the gastirc ulcer. Remnant gastric cancer was found.
Completion total gastectomy with T-colon segmentectomy was done
Stomach and small intestine, total gastrectomy and T-colon segmentectomy:
Status of post-subtotal gastrectomy for gastric ulcer
Advanced gastric carcinoma, Borrmann type III, greater curvature of remnant stomach, adenocarcinoma, well differentiated, intestinal type:
1) tumor size: 8x5 cm
2) extension to subserosa and anastomosing small intestine
3) no endolymphatic tumor emboli
4) no perineurial invasion
5) negative resection margins (proximal, 11.5 cm; distal, 6 cm)
6) metastasis to two out of 18 regional lymph nodes (2/18: lesser curvature, 1/2; greater curvature, 1/4; "8", 0/6; "7, 9", 0/6; "12a", 0/1)
14 years after completion total gastectomy, esophageal cancer was found. Forceps biopsy was well differentiated squamous cell carcinoma.
Definitive CCRT was recommended due to very high opeartive risk.
© Ͽ ð汳 ٸ ð濬 . EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2020-2-2)
