This article is part of the supplement: Selected articles from the XXV National Congress of the Italian Society of Geriatric Surgery
Local recurrence of gastric cancer after total gastrectomy: an unusual presentation
1 Department of Molecular Medicine, University of Padua, Italy
2 Department of Surgical and Gastroenterological Sciences, University of Padua, Italy
3 University of Naples Federico II - Department of General Surgery, Italy
BMC Surgery 2012, 12(Suppl 1):S28 doi:10.1186/1471-2482-12-S1-S28Published: 15 November 2012
A 71 years old Italian man had type 3 gastric cancer of the greater curvature. Total gastrectomy with splenectomy and D2 lymph node dissection were performed. After discharge chemotherapy ELF regimen was administred for 6 months. After 16 months from the operation a local recurrence was discovered by CT scan. Surgical en-bloc resection was performed removing pancreatic tail, splenic colic flexure and a portion of left diaphragm. Histological examination confirmed local recurrence of gastric adenocarcinoma infiltrating pancreas, colon and diaphragm with lymph node metastasis.