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IIA期胃癌根治性全胃切除术后12年皮肤及淋巴结转移复发

Recurrence of Cutaneous and Lymph Node Metastases 12 Years after Radical Total Gastrectomy for Stage IIA Gastric Cancer.

作者信息

Yasuda Takeshi, Hayashi Sadanari, Nakahata Yuki, Yasuda Yuriko, Omatsu Tatsushi, Obora Akihiro, Kojima Takao, Yagi Nobuaki

机构信息

Department of Gastroenterology, Asahi University Hospital, Japan.

出版信息

Intern Med. 2020 Jun 1;59(11):1387-1393. doi: 10.2169/internalmedicine.3847-19. Epub 2020 Mar 5.

DOI:10.2169/internalmedicine.3847-19
PMID:32132333
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7332624/
Abstract

We herein report a rare case of cutaneous and lymph node metastases that recurred 12 years after radical total gastrectomy for stage IIA gastric cancer. A 62-year-old man had undergone total gastrectomy for stage IIA gastric cancer 12 years earlier without postoperative adjuvant chemotherapy. At 12 years after the surgery, he was admitted for left jugular swelling. Computed tomography revealed supraclavicular lymph node swelling and precordial subcutaneous edema. The lymph node specimens and cutaneous biopsies indicated late recurrence of the gastric cancer. Concurrent chemoradiotherapy was administered effectively, but after eight months, the patient died due to deterioration in his general condition.

摘要

我们在此报告一例罕见的皮肤和淋巴结转移病例，该病例在IIA期胃癌根治性全胃切除术后12年复发。一名62岁男性在12年前因IIA期胃癌接受了全胃切除术，术后未进行辅助化疗。术后12年，他因左侧颈部肿胀入院。计算机断层扫描显示锁骨上淋巴结肿大和心前区皮下水肿。淋巴结标本和皮肤活检表明为胃癌晚期复发。同步放化疗有效，但八个月后，患者因全身状况恶化死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/8d0f668c9819/1349-7235-59-1387-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/70f80c68c8c2/1349-7235-59-1387-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/d94f36a56d86/1349-7235-59-1387-g008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/70f80c68c8c2/1349-7235-59-1387-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/0c9a25c82d3f/1349-7235-59-1387-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/42cc718ecd35/1349-7235-59-1387-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/e1f924af0941/1349-7235-59-1387-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/689a045201e4/1349-7235-59-1387-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/126ff78e4b49/1349-7235-59-1387-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/d94f36a56d86/1349-7235-59-1387-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/bcbd992fdd00/1349-7235-59-1387-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a520/7332624/8d0f668c9819/1349-7235-59-1387-g010.jpg

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