Long-Term Survival Following Port-Site Metastasectomy in a Patient with Laparoscopic Gastrectomy for Gastric Cancer: A Case Report.
10.5230/jgc.2015.15.3.209
- Author:
Sang Hyun KIM
1
;
Dong Jin KIM
;
Wook KIM
Author Information
1. Department of Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. kimwook@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Laparoscopy;
Recurrence;
Metastasectomy
- MeSH:
Adenocarcinoma;
Aged;
Chemotherapy, Adjuvant;
Fibromatosis, Aggressive;
Follow-Up Studies;
Gastrectomy*;
Humans;
Laparoscopy;
Metastasectomy*;
Neoplasm Metastasis;
Oxonic Acid;
Recurrence;
Stomach Neoplasms*
- From:Journal of Gastric Cancer
2015;15(3):209-213
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 78-year-old man underwent laparoscopy-assisted total gastrectomy for gastric cancer (pT3N0M0). Multiple port sites were used, including a 10 mm port for a videoscope at the umbilical point and three other working ports. During the six-month follow-up evaluation, a 2 cm enhancing mass confined to the muscle layer was found 12 mm from the right lower quadrant port site, suggesting a metastatic or desmoid tumor. Follow-up computed tomography imaging two months later showed that the mass had increased in size to 3.5 cm. We confirmed that there was no intra-abdominal metastasis by diagnostic laparoscopy and then performed a wide resection of the recurrent mass. The histologic findings revealed poorly differentiated adenocarcinoma, suggesting a metastatic mass from the stomach cancer. The postoperative course was uneventful, and the patient completed adjuvant chemotherapy with TS-1 (tegafur, gimeracil, and oteracil potassium). There was no evidence of tumor recurrence during the 50-month follow-up period.
