Primary Squamous Cell Carcinoma of the Remnant Stomach after Subtotal Gastrectomy

장연수; 김민성; 김동희; 박슬기; 유지영; 한준길; 김성환; 이호정

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자료유형: 학술저널

저자정보: 장연수 김민성 김동희 박슬기 유지영 한준길 김성환 이호정

저널정보: 대한위암학회 Journal of Gastric Cancer Journal of Gastric Cancer 제16권 제2호

발행연도: 2016.1

수록면: 120 - 124 (5page)

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Primary squamous cell carcinoma (SCC) of the stomach is a very rare disease. However, the pathogenesis, clinical characteristics, andprognosis of gastric SCC are controversial and remain to be elucidated. Herein, we report a case of primary gastric SCC of the remnantstomach after subtotal gastrectomy. A 65-year-old man was admitted to our hospital due to epigastric discomfort and dizziness. He hadundergone subtotal gastrectomy 40 years previously for gastric ulcer perforation. Endoscopy revealed a normal esophagus and a largemass in the remnant stomach. Abdominal computed tomography revealed enhanced wall thickening of the anastomotic site and suspectedmetachronous gastric cancer. Endoscopic biopsy revealed SCC. Total gastrectomy was performed with Roux-en-Y esophagojejunostomy. A 10-cm tumor was located at the remnant stomach just proximal to the previous area of anastomosis. Pathologic examinationshowed well-differentiated SCC extended into the subserosa without lymph node involvement (T3N0M0). The patient received adjuvantsystemic chemotherapy with 6 cycles of 5-FU and cisplatin regimen, and he is still alive at the 54-month follow-up. According to thetreatment principles of gastric cancer, early detection and radical surgical resection can improve the prognosis.

#Stomach neoplasms #Squamous cell carcinoma #Gastric stump

참고문헌 (27)

참고문헌 신청

Gao S / 2015 / Primary squamous cell carcinoma of the stomach : a case report and literature review / Int J Clin Exp Pathol 8:9667~9671

Ruck P / 1989 / Squamous cell carcinoma of the gastric stump. A case report and review of the literature / Am J Surg Pathol 13:317~324

Wegstapel H / 1990 / Squamous cell carcinoma of the stomach following gastric surgery / Br J Clin Pract 44:736~737

Piper MH / 1991 / Primary squamous cell carcinoma of a gastric remnant / Am J Gastroenterol 86:1080~1082

Tokuhara K / 2012 / Primary squamous cell carcinoma in the gastric remnant / Surg Today 42:666~669

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