Five-year Survival Associated with Stage I Gastric Cancer after Resection of Early Recurrence at Nodal Station No. 14v: a Case Report.
- Author:
Iku ABE
1
;
Takahiro KINOSHITA
;
Akio KAITO
;
Hideki SUNAGAWA
;
Masahiro WATANABE
;
Shizuki SUGITA
;
Akiko TONOUCHI
;
Reo SATO
Author Information
- Publication Type:Case Report
- Keywords: Early detection of cancer; Stomach neoplasms; Lymph nodes; Surgical treatment
- MeSH: Aged; Chemotherapy, Adjuvant; Diagnosis; Early Detection of Cancer; Female; Gastrectomy; Humans; Lymph Node Excision; Lymph Nodes; Mesenteric Veins; Neoplasm Metastasis; Potassium; Recurrence*; Stomach Neoplasms*
- From:Journal of Gastric Cancer 2017;17(2):186-191
- CountryRepublic of Korea
- Language:English
- Abstract: The role of nodal station No. 14v (along the superior mesenteric vein) in lymphadenectomy for distal gastric cancer remains elusive. A 73-year-old woman underwent endoscopic submucosal dissection for gastric cancer, and was referred to our division for additional surgery because of pathologically non-curative resection. A laparoscopic distal gastrectomy with D1+ dissection was performed, with a final diagnosis of pT1bN1M0, Stage IB (2 nodal metastases to No. 6). Four months post-surgery, abdominal computed tomography revealed a 14-mm solitary nodule along the superior mesenteric vein. The lesion was excised and pathologically identified as a lymph node metastasis. Adjuvant chemotherapy with tegafur-gimeracil-oteracil potassium (S-1) was administered for the metastasis. Presently the patient survives without recurrence, 5.5 years after the second operation. Our findings suggest that there is lymphatic flow from the No. 6 to the No. 14v nodal station. Some patients with a No. 6 metastasis may benefit from a No. 14v lymphadenectomy, even in early-staged disease.
