Late Recurrence to the Pleura 11 Years after Gastrectomy with Resection of Synchronous Peritoneal Dissemination—A Report of a Case—
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- TAKADA Atsushi
- Department of Surgery, Kanto Central Hospital
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- KAWAHARA Masaki
- Department of Surgery, Kanto Central Hospital
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- KOGAWA Koji
- Department of Surgery, Kanto Central Hospital
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- KANOUDA Hisashi
- Department of Surgery, Kanto Central Hospital
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- KAWAI Hiromi
- Department of Surgery, Kanto Central Hospital
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- INOUE Toru
- Department of Pathology, Kanto Central Hospital
Bibliographic Information
- Other Title
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- 胃切除術11年後に胸膜転移再発した腹膜転移陽性胃癌の1例
- イ セツジョジュツ 11ネンゴ ニ キョウマク テンイ サイハツ シタ フクマク テンイ ヨウセイ イガン ノ 1レイ
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Abstract
<p>We present a rare case of late recurrence to the pleura after gastrectomy for gastric carcinoma and resection of synchronous peritoneal dissemination. A 70-year-old man underwent distal gastrectomy for advanced type 3 gastric cancer, when single small peritoneal metastasis, 1mm in diameter, was identified on the liver surface and resected at the surgery. Histologically it was peritoneal metastasis of gastric cancer. The patient was treated with S-1 chemotherapy for five years without any signs of recurrence and had closely been followed up after cession of the chemotherapy. Eleven years after the surgery, a CT scan revealed nodular deposits on the right diaphragm. We performed a video-assisted pleural biopsy, and pleural metastasis of gastric cancer was confirmed histologically. The number of longer survivors of synchronous peritoneal dissemination has increased, however, late solitary metastasis to the pleura without effusion is very rare.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 82 (3), 542-546, 2021
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390008078423016960
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- NII Article ID
- 130008093881
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 031408515
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed