全胃切除术后胃癌局部复发：一种不寻常的表现。
Local recurrence of gastric cancer after total gastrectomy: an unusual presentation.
作者信息
Martella Bruno, Cardin Fabrizio, Lorenzetti Renata, Terranova Claudio, Amato Bruno, Militello Carmelo
机构信息
Department of Molecular Medicine, University of Padua, Italy.
出版信息
BMC Surg. 2012;12 Suppl 1(Suppl 1):S28. doi: 10.1186/1471-2482-12-S1-S28. Epub 2012 Nov 15.
Abstract
A 71 years old Italian man had type 3 gastric cancer of the greater curvature. Total gastrectomy with splenectomy and D2 lymph node dissection were performed. After discharge chemotherapy ELF regimen was administered for 6 months. After 16 months from the operation a local recurrence was discovered by CT scan. Surgical en-bloc resection was performed removing pancreatic tail, splenic colic flexure and a portion of left diaphragm. Histological examination confirmed local recurrence of gastric adenocarcinoma infiltrating pancreas, colon and diaphragm with lymph node metastasis.
摘要
一名71岁的意大利男子患有胃大弯处的3型胃癌。实施了全胃切除术、脾切除术和D2淋巴结清扫术。出院后给予ELF方案化疗6个月。术后16个月，CT扫描发现局部复发。进行了整块手术切除，切除了胰尾、脾曲结肠和部分左膈。组织学检查证实胃腺癌局部复发，侵犯胰腺、结肠和膈，并伴有淋巴结转移。
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