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KMID : 0614619920240010132
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Korean Journal of Gastroenterology
1992 Volume.24 No. 1 p.132 ~ p.138
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Gastric Remnant Cancer Following Partial Gastrectomy for Benign Gastric Ulcer Disease
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이종익
장우익/김현수/조윤경/이동기/권상옥/심영학/김대성/이상엽
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Abstract
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Cancers that have developed in a gastric remnant after the resection of nonmalignant lesions are referred to as "gastric remnant cancer: The interval between gastrectomy and the detection of gastric remnant cancer must be over 5 years. Gastric
remnant
has been regarded as a precancerous condition of the stomach, Follow-up endoscopic examination with multiple random biopsy is quite important, especially for those who have undergone gastric surgery more than 15 years ago.
Recently we experienced two cases of gastric remnant cancer. these two patients showed quite different clinical features. The first case was a 58 year-old male patient who had undergone partial gastrectomy 18 years and 6 months ago due to gastric
ulcer.
Radical total gastrectomy, esophagojejunostomy, segmental resection of the transverse colon, splenectomy and distal pancreatectomy were performed. Cancer infiltration was noted at stomal site and remnant proximal stomach. This is a characteristic
finding of gaastric stump cancer. Pathologic staging by AJCC classification (3rd edition; 1988) was T3, N2, M1.
The second case was a 69 year-old male patient who had undergone partial gastrectomy 5 years and 6 months ago due to prepyloric antral ulcer perforation. Fibergastroscopic examination showed ulceroinfiltrative lesion on the lesser curvature site
of
the
cardia and the upper body without cancer infiltration at gastrojejunal anastomosis site. Abdominal CT scan showed multiple metastatic lesion in entire liver.
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KEYWORD
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