Abstract
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.
MeSH terms
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Adenocarcinoma / diagnostic imaging
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Adenocarcinoma / drug therapy
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Adenocarcinoma / pathology
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Adenocarcinoma / surgery*
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Aged
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Antineoplastic Agents / administration & dosage
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Chemotherapy, Adjuvant
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Etoposide / therapeutic use
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Fluorouracil / therapeutic use
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Gastrectomy*
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Humans
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Levoleucovorin / therapeutic use
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Male
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Neoplasm Recurrence, Local / diagnostic imaging*
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Neoplasm Recurrence, Local / pathology
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Stomach Neoplasms / diagnostic imaging
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Stomach Neoplasms / drug therapy
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Stomach Neoplasms / pathology
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Stomach Neoplasms / surgery*
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Tomography, X-Ray Computed*
Substances
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Antineoplastic Agents
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Etoposide
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Levoleucovorin
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Fluorouracil