Mixed adenoneuroendocrine carcinoma of the gastric stump following Billroth II gastrectomy: case report and review of the literature

Gastric stump cancer after gastric resection is a well-known disease. It may be a newly developed cancer after resection due to benign disease, or recurrent or residual disease after oncological surgery. The predominant histological type is usually adenocarcinoma. This study aimed to report on a rar...

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Bibliographic Details
Published in:São Paulo medical journal 2016-01, Vol.134 (1), p.84-87
Main Authors: Cazzo, Everton, de Saito, Helena Paes de Almeida
Format: Article
Language:English
Subjects:
Adenocarcinoma
Adenocarcinoma - surgery
Adenocarcinoma - therapy
Aged, 80 and over
Carcinoma, Neuroendocrine - surgery
Carcinoma, Neuroendocrine - therapy
Chemoradiotherapy, Adjuvant - methods
Female
Gastric stump
Gastric Stump - surgery
Gastroenterostomy
Humans
MEDICINE, GENERAL & INTERNAL
Mixed tumor, malignant
Mixed Tumor, Malignant - surgery
Mixed Tumor, Malignant - therapy
Neuroendocrine tumors
Stomach neoplasms
Stomach Neoplasms - surgery
Stomach Neoplasms - therapy
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Summary:Gastric stump cancer after gastric resection is a well-known disease. It may be a newly developed cancer after resection due to benign disease, or recurrent or residual disease after oncological surgery. The predominant histological type is usually adenocarcinoma. This study aimed to report on a rare occurrence of a mixed adenoneuroendocrine carcinoma (MANEC) on the gastric stump. The case of an 83-year-old female who presented a locally aggressive gastric stump MANEC, 35 years after Billroth II gastrectomy to treat a peptic ulcer, is reported. The patient underwent resection and adjuvant therapy. She has been followed up for one year without signs of recurrence. MANEC is a rare type of gastrointestinal neoplasm. The classification, histopathology, clinical features, treatment issues and prognosis are discussed along with a brief review of the literature.
ISSN:1516-3180
1806-9460
1806-9460
DOI:10.1590/1516-3180.2013.9080911