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Surgical resection of colorectal recurrence of gastric cancer more than 5 years after primary resection

Abstract INTRODUCTION Intestinal metastasis from gastric cancer is rare, although the most common cause of secondary neoplastic infiltration of the colon is gastric cancer. However, little data is available on recurrence or death in patients with gastric cancer surviving >5 years post-gastrectomy...

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Published in:International journal of surgery case reports 2014-01, Vol.5 (12), p.954-957
Main Authors: Noji, Takehiro, Yamamura, Yoshiyuki, Muto, Jun, Kuroda, Aki, Koinuma, Junkichi, Yoshioka, Tatsuya, Murakawa, Katsuhiko, Otake, Setsuyuki, Hirano, Satoshi, Ono, Koichi
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cited_by cdi_FETCH-LOGICAL-c514t-aba5ef243c829a5a361a5adfde496c2e92b6ce4b9720c54a00e1a81ba9334caf3
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container_issue 12
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container_title International journal of surgery case reports
container_volume 5
creator Noji, Takehiro
Yamamura, Yoshiyuki
Muto, Jun
Kuroda, Aki
Koinuma, Junkichi
Yoshioka, Tatsuya
Murakawa, Katsuhiko
Otake, Setsuyuki
Hirano, Satoshi
Ono, Koichi
description Abstract INTRODUCTION Intestinal metastasis from gastric cancer is rare, although the most common cause of secondary neoplastic infiltration of the colon is gastric cancer. However, little data is available on recurrence or death in patients with gastric cancer surviving >5 years post-gastrectomy. Here we report two cases of lower intestinal metastasis from gastric cancer >5 years after primary resection and discuss with reference to the literature. PRESENTATION OF CASE Case 1 : A 61-year-old man with a history of total gastrectomy for gastric cancer 9 years earlier was referred to our hospital with constipation and abdominal distention. We diagnosed primary colon cancer and subsequently performed extended left hemicolectomy. Histological examination revealed poorly differentiated adenocarcinoma resembling the gastric tumor he had 9 years earlier. The patient refused postoperative adjuvant chemotherapy and remained alive with cancerous peritonitis and skin metastases as of 17 months later. Case 2 : A 46-year-old woman with a history of total gastrectomy for gastric cancer 9 years earlier presented with constipation. She also had a history of Krukenberg tumor 3 years earlier. We diagnosed metastatic rectal cancer and subsequently performed low anterior resection and hysterectomy. Pathological examination revealed poorly differentiated tubular adenocarcinoma, resembling the gastric tumor. The patient remained alive without recurrence as of 17 months later. DISCUSSION We found 19 reported cases of patients with resection of colon metastases from gastric cancer. Median disease-free interval was 74 months. CONCLUSION Resection of late-onset colorectal recurrence from gastric cancer appears worthwhile for selected patients.
doi_str_mv 10.1016/j.ijscr.2014.10.005
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However, little data is available on recurrence or death in patients with gastric cancer surviving &gt;5 years post-gastrectomy. Here we report two cases of lower intestinal metastasis from gastric cancer &gt;5 years after primary resection and discuss with reference to the literature. PRESENTATION OF CASE Case 1 : A 61-year-old man with a history of total gastrectomy for gastric cancer 9 years earlier was referred to our hospital with constipation and abdominal distention. We diagnosed primary colon cancer and subsequently performed extended left hemicolectomy. Histological examination revealed poorly differentiated adenocarcinoma resembling the gastric tumor he had 9 years earlier. The patient refused postoperative adjuvant chemotherapy and remained alive with cancerous peritonitis and skin metastases as of 17 months later. Case 2 : A 46-year-old woman with a history of total gastrectomy for gastric cancer 9 years earlier presented with constipation. She also had a history of Krukenberg tumor 3 years earlier. We diagnosed metastatic rectal cancer and subsequently performed low anterior resection and hysterectomy. Pathological examination revealed poorly differentiated tubular adenocarcinoma, resembling the gastric tumor. The patient remained alive without recurrence as of 17 months later. DISCUSSION We found 19 reported cases of patients with resection of colon metastases from gastric cancer. Median disease-free interval was 74 months. 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However, little data is available on recurrence or death in patients with gastric cancer surviving &gt;5 years post-gastrectomy. Here we report two cases of lower intestinal metastasis from gastric cancer &gt;5 years after primary resection and discuss with reference to the literature. PRESENTATION OF CASE Case 1 : A 61-year-old man with a history of total gastrectomy for gastric cancer 9 years earlier was referred to our hospital with constipation and abdominal distention. We diagnosed primary colon cancer and subsequently performed extended left hemicolectomy. Histological examination revealed poorly differentiated adenocarcinoma resembling the gastric tumor he had 9 years earlier. The patient refused postoperative adjuvant chemotherapy and remained alive with cancerous peritonitis and skin metastases as of 17 months later. Case 2 : A 46-year-old woman with a history of total gastrectomy for gastric cancer 9 years earlier presented with constipation. She also had a history of Krukenberg tumor 3 years earlier. We diagnosed metastatic rectal cancer and subsequently performed low anterior resection and hysterectomy. Pathological examination revealed poorly differentiated tubular adenocarcinoma, resembling the gastric tumor. The patient remained alive without recurrence as of 17 months later. DISCUSSION We found 19 reported cases of patients with resection of colon metastases from gastric cancer. Median disease-free interval was 74 months. 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subjects Colonic metastasis
Gastric cancer
Late onset
Surgery
Surgical resection
title Surgical resection of colorectal recurrence of gastric cancer more than 5 years after primary resection
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