Long-Term Survival Following Port-Site Metastasectomy in a Patient with Laparoscopic Gastrectomy for Gastric Cancer: A Case Report
Journal of Gastric Cancer
;
: 209-213, 2015.
Article
in English
| WPRIM
| ID: wpr-41738
ABSTRACT
A 78-year-old man underwent laparoscopy-assisted total gastrectomy for gastric cancer (pT3N0M0). Multiple port sites were used, including a 10 mm port for a videoscope at the umbilical point and three other working ports. During the six-month follow-up evaluation, a 2 cm enhancing mass confined to the muscle layer was found 12 mm from the right lower quadrant port site, suggesting a metastatic or desmoid tumor. Follow-up computed tomography imaging two months later showed that the mass had increased in size to 3.5 cm. We confirmed that there was no intra-abdominal metastasis by diagnostic laparoscopy and then performed a wide resection of the recurrent mass. The histologic findings revealed poorly differentiated adenocarcinoma, suggesting a metastatic mass from the stomach cancer. The postoperative course was uneventful, and the patient completed adjuvant chemotherapy with TS-1 (tegafur, gimeracil, and oteracil potassium). There was no evidence of tumor recurrence during the 50-month follow-up period.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxonic Acid
/
Recurrence
/
Stomach Neoplasms
/
Adenocarcinoma
/
Follow-Up Studies
/
Chemotherapy, Adjuvant
/
Laparoscopy
/
Fibromatosis, Aggressive
/
Metastasectomy
/
Gastrectomy
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
Language:
English
Journal:
Journal of Gastric Cancer
Year:
2015
Type:
Article
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