A Case of Locally Recurrent Gastric Cancer at Kim's Tie Site of the Jejunum after a Total Gastrectomy.
10.5230/jkgca.2005.5.1.52
- Author:
Byung Gu BAE
1
;
Byoung Jo SUH
;
Hang Jong YU
;
Yun Kyung KANG
;
Jin Pok KIM
Author Information
1. Korea Gastric Cancer Center, Seoul Paik Hospital, Inje Medical College, Seoul, Korea. oltx62@hanmail.net
- Publication Type:Case Report
- Keywords:
Total gastrectomy;
Kim's tie;
Recurrence
- MeSH:
Adenocarcinoma;
Diagnosis;
Drug Therapy;
Female;
Follow-Up Studies;
Gastrectomy*;
Humans;
Jejunum*;
Lymph Node Excision;
Middle Aged;
Peritoneum;
Recurrence;
Stomach Neoplasms*
- From:Journal of the Korean Gastric Cancer Association
2005;5(1):52-56
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Despite improvements in the surgical treatment of gastric adenocarcinomas, the recurrence rates remain high in patients with advanced-stage disease. Most of the recurrence occurs within 3 years of the surgical resection, and nearly 90% of the patients with recurrence die within 2 years of the diagnosis of recurrence. A recent study analyzed recurrence patterns for patients who had undergone a potentially curative gastrectomy. For those patients, 33% of the recurrences involved locoregional sites, 44% the peritoneum, and 38% distant sites. A 51-year-old female patient was diagnosed with stomach cancer and underwent a total gastrectomy with D2 lymph node dissection during Oct. 1999. The pathologic report indicated a T3N1M0 tumor. We performed immunochemotherapy for 2 years with regular follow up. A gastrofiberscopic examination done during Sep. 2004, cancer recurrence was found at the *Kim's tie site of the jejunual loop. We did an abdominal exploration and a segmental resection of cancer site with pathologically negative resection margins. After the operation, we started secondary chemotherapy with TS-1.
