食道癌手術16年後に再建胃管に発生した腺癌の1例

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  • A CASE GASTRIC CANCER IN THE RECONSTRUCTED GASTRIC TUBE 16 YEARS AFTER A RADICAL OPERATION FOR ESOPHAGEAL CANCER

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We report a case of cancer arising in the reconstructed gastric tube 16 years after a radical operation for esopageal cancer in a 68-year-old man.<br> There was a previous history of undergoing a subtotal esophagectomy with retrosternal reconstruction using gastric tube for an esophegeal cancer at the age of 52. This time when 16 years had elapsed after the operation, he was admitted to the hospital because of abdominal pain and nausea due to adhesive ileus. A tumor in the reconstructed gastric tube was pointed out by a gastric endoscopy. The tumor was diagnosed as moderately differentiated adenocarcinoma on biopsy specimens and we performed an operation. Gastric cancers arising in the reconstructed gastric tube are sometimes found in the advanced stages and resultantly have poor prognosis. It is suggested that periodical endoscopic examinations for more than 10 years after radical esophgectomy are important to make the early diagnosis of cancer of the gastric tube.

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