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BMC Surg. 2012;12 Suppl 1:S28. doi: 10.1186/1471-2482-12-S1-S28. Epub 2012 Nov 15.

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

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  • 1Department of Molecular Medicine, University of Padua, Italy.


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 administered 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.

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