This article is part of the supplement: Selected articles from the XXV National Congress of the Italian Society of Geriatric Surgery

Open Access Research article

Local recurrence of gastric cancer after total gastrectomy: an unusual presentation

Bruno Martella1*, Fabrizio Cardin1, Renata Lorenzetti1, Claudio Terranova2, Bruno Amato3 and Carmelo Militello1

Author affiliations

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

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Citation and License

BMC Surgery 2012, 12(Suppl 1):S28  doi:10.1186/1471-2482-12-S1-S28

Published: 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.