Abstract
We herein present a case of recurrence of gastric cancer in the jejunal pouch after total gastrectomy in a 74-year-old man. He had a history of two operations for gastric cancer. The second operation was a completion gastrectomy with jejunal pouch reconstruction and regional lymphadenectomy, for gastric cancer in the cardia of the remnant stomach, performed 2 years and 9 months before the present admission. A follow-up endoscopy showed three elevated tumors along the suture lines in the jejunal pouch in the upper digestive tract. Resection of the jejunal pouch was performed. Gross pathological examination revealed elevated lesions along the staple suture lines in the jejunal pouch. Histopathologically, moderately differentiated tubular adenocarcinoma involving the muscular layer, without lymphatic metastases, was recognized. Recurrence of gastric cancer in the jejunal pouch after resection is rare. We suggest that implantation of exfoliated cancer cells gave rise to the recurrence of tumors on the suture line in this patient. We also review two cases of gastric cancer in the jejunal pouch after resection previously described in the literature.
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HC Umpleby RC Williamson (1987) ArticleTitleAnastomotic recurrence in large bowel cancer Br J Surg 74 873–8 Occurrence Handle3311277 Occurrence Handle10.1002/bjs.1800741003 Occurrence Handle1:STN:280:BieD38ngs1I%3D
HW Southwick WH Harridge WH Cole (1962) ArticleTitleRecurrence at the suture line following resection for carcinoma of the colon Am J Surg 103 86–9 Occurrence Handle10.1016/0002-9610(62)90020-X
DN Papachristou M Karas JG Fortner (1979) ArticleTitleAnastomotic recurrence in the oesophagus complicating gastrectomy for adenocarcinoma of the stomach Br J Surg 66 609–12 Occurrence Handle497643 Occurrence Handle10.1002/bjs.1800660904 Occurrence Handle1:STN:280:Bi%2BD2czovV0%3D
M Sugano M Tsurumaru Y Kajiyama T Hashimoto B Nobukawa Y Hayashida (2004) ArticleTitleA case of successfully resected stomal recurrence of gastric cancer developed 13 years after total gastrectomy (in Japanese) Nippon Rinsyogeka Gakkai Zasshi (J Jpn Surg Assoc) 65 2913–7
HC Umpleby B Fermor MO Symes RC Willamson (1984) ArticleTitleViability of exfoliated colorectal carcinoma cells Br J Surg 71 659–63 Occurrence Handle6478151 Occurrence Handle10.1002/bjs.1800710902 Occurrence Handle1:STN:280:BiqD3c7gvVU%3D
D Skipper AJ Cooper JE Marston I Taylor (1987) ArticleTitleExfoliated cells and in vitro growth in colorectal cancer Br J Surg 74 1049–52 Occurrence Handle3690235 Occurrence Handle10.1002/bjs.1800741130 Occurrence Handle1:STN:280:BieD2sfovFY%3D
K Miyoshi S Fuchimoto T Ohsaki T Sakata I Takeda K Takahashi et al. (1999) ArticleTitleSuture line recurrence in jejunal pouch replaced after total gastrectomy for gastric cancer Gastric Cancer 2 194–7 Occurrence Handle11957096 Occurrence Handle10.1007/s101200050046
M Nishimura I Honda S Watanabe M Nagata H Souda M Miyazaki (2003) ArticleTitleRecurrence in jejunal pouch after proximal gastrectomy for early upper gastric cancer Gastric Cancer 6 197–201 Occurrence Handle14520535 Occurrence Handle10.1007/s10120-003-0242-7
P Gertsch HU Baer R Kraft GJ Maddern HJ Altermatt (1992) ArticleTitleMalignant cells are collected on circular staplers Dis Colon Rectum 35 238–41 Occurrence Handle1740068 Occurrence Handle10.1007/BF02051014 Occurrence Handle1:STN:280:By2C2MvpvFM%3D
RTL Long RH Edwards (1989) ArticleTitleImplantation metastasis as a cause of local recurrence of colorectal carcinoma Am J Surg 157 194–201 Occurrence Handle2916734 Occurrence Handle10.1016/0002-9610(89)90527-8 Occurrence Handle1:STN:280:BiaC3s3ptlE%3D
C Terzi T Unek O Sagol T Yilmaz M Fuzun S Sokmen et al. (2006) ArticleTitleIs rectal washout necessary in anterior resection for rectal cancer? A prospective clinical study World J Surg 30 233–41 Occurrence Handle16425079 Occurrence Handle10.1007/s00268-005-0300-x
MJ Curet (2004) ArticleTitlePort site metastases Am J Surg 187 705–12 Occurrence Handle15191862 Occurrence Handle10.1016/j.amjsurg.2003.10.015
P Jacquet OA Stuart R Dalton D Chang PH Sugarbaker (1996) ArticleTitleEffect of intraperitoneal chemotherapy and fibrinolytic therapy on tumor implantation in wound sites J Surg Oncol 62 128–34 Occurrence Handle8649039 Occurrence Handle10.1002/(SICI)1096-9098(199606)62:2<128::AID-JSO9>3.0.CO;2-A Occurrence Handle1:CAS:528:DyaK28XksFSis7k%3D
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Namikawa, T., Kobayashi, M., Okamoto, K. et al. Recurrence of gastric cancer in the jejunal pouch after completion gastrectomy. Gastric Cancer 10, 256–259 (2007). https://doi.org/10.1007/s10120-007-0441-8
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DOI: https://doi.org/10.1007/s10120-007-0441-8