A case of anastomotic recurrence after surgery for gastric cancer diagnosed by endoscopic ultrasound-guided fine needle aspiration

DOI 1 Citations 4 References Open Access
  • Murohashi Kouta
    Yokohama City University Medical Center, Gastroenterological Center
  • Miwa Haruo
    Yokohama City University, Department of Gastroenterology
  • Sugimori Kazuya
    Yokohama City University Medical Center, Gastroenterological Center
  • Tozuka Yuichiro
    Yokohama Minami Kyousai Hospital, Department of Gastroenterology
  • Ishii Yuniba
    Yokohama City University Medical Center, Gastroenterological Center
  • Kameta Eri
    Yokohama City University Medical Center, Gastroenterological Center
  • Ishii Tomohiro
    Yokohama City University Medical Center, Gastroenterological Center
  • Kaneko Takashi
    Yokohama City University Medical Center, Gastroenterological Center
  • Oshima Takashi
    Yokohama City University, Department of Surgery
  • Kokawa Atsushi
    Yokohama City University Medical Center, Gastroenterological Center
  • Numata Kazushi
    Yokohama City University Medical Center, Gastroenterological Center
  • Kunisaki Chikara
    Yokohama City University Medical Center, Gastroenterological Center
  • Tanaka Katsuaki
    Yokohama City University Medical Center, Gastroenterological Center
  • Maeda Shin
    Yokohama City University, Department of Gastroenterology

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Other Title
  • EUS-FNAが診断に有用であった胃癌吻合部再発の1例

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A 55-year-old man was diagnosed as having advanced gastric cancer in 2011 and subsequently underwent total gastrectomy with Roux-en Y reconstruction. Pathology revealed poorly differentiated adenocarcinoma (pT4N0M0, pStage IIB) , and no cancer cells were found at the surgical margin. The patient visited our hospital in February 2014 with anorexia and vomiting. Computed tomography showed wall thickening and luminal stenosis at the esophagojejunostomy site. Upper gastrointestinal endoscopy indicated that the stenotic region was covered by normal mucosa. Histological examination of mucosal biopsy specimens showed no evidence of neoplastic cells. However, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) indicated the presence of poorly differentiated adenocarcinoma. This finding was consistent with the anastomotic recurrence of gastric cancer, and chemotherapy was subsequently administered. Based on our experience, we suggest that EUS-FNA can be useful for the histological diagnosis of anastomotic recurrences covered with normal mucosa after surgery for gastric cancer.

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