Surgery Today

, Volume 37, Issue 4, pp 325–329 | Cite as

Peritoneal Recurrence of Gastric Cancer with Mucin Phenotype 12 Years After Curative Resection: Report of a Case

  • Ryuusuke Aihara
  • Erito Mochiki
  • Sayaka Ohotake
  • Yoichi Kamiyama
  • Teturo Ohono
  • Hiroyuki Kuwano
  • Kohei Kurokawa
  • Kazuhiro Suzuki
Article

Abstract

We report a case of peritoneal recurrence of gastric cancer in a 58-year-old man, 12 years after curative surgery. Urinary wall thickness was seen on follow-up computed tomography and magnetic resonance imaging scans. We performed total nephroureterectomy and cystectomy for urinary tract cancers, but histological examination of the resected specimen revealed poorly differentiated adenocarcinoma with severe fibrosis, resembling the gastric cancer resected 12 years earlier. Immunohistological examination revealed human gastric mucin (45M1) and intestinal mucin (MUC2) phenotype in both the original gastric cancers and the urinary tract cancers. Thus, we concluded that the second cancer was a peritoneal recurrence of gastric cancer with gastric and intestinal mucin phenotypes. Although peritoneal recurrence so many years after curative gastrectomy is rare, careful long-term follow-up should be done for all patients undergoing surgery for gastric cancer with mucin phenotype.

Key words

Gastric cancer Mucin phenotype Gastric and intestinal phenotype Peritoneal recurrence 

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Copyright information

© Springer-Verlag Tokyo 2007

Authors and Affiliations

  • Ryuusuke Aihara
    • 1
  • Erito Mochiki
    • 1
  • Sayaka Ohotake
    • 1
  • Yoichi Kamiyama
    • 1
  • Teturo Ohono
    • 1
  • Hiroyuki Kuwano
    • 1
  • Kohei Kurokawa
    • 2
  • Kazuhiro Suzuki
    • 2
  1. 1.Department of General Surgical Science (Surgery I)Graduate School of MedicineGunmaJapan
  2. 2.Department of UrologyGraduate School of MedicineGunmaJapan

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