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在在激进的全部的 gastrectomy 以后的 jejunal 树桩的胃的癌症的复发

World Journal of Gastrointestinal Surgery 2014年第4期6卷 74-76页

作者： Jong Han Yoo Sang Hyuk Seo Min Sung An Tae Kwun Ha Kwang Hee kim Ki Beom Bae Chang soo Choi Sang Hun Oh Young Kil Choi Department of Surgery Busan Paik HospitalInje University College of Medicine

This is a very rare case of the recurrence of gastric cancer in the jejunal stump after radical total gastrectomy with Roux-en-Y *** January 2008,a 65-year-old man underwent radical total gastrectomy with Roux-en-Y reconstruction for stageⅠB gastric cancer of the upper *** a follow-up in December2011,the patient had a recurrence of gastric cancer on gastroduodenal *** gastroduodenal fibroscopic biopsy specimens show a well-differentiated tubular *** tomography showed no lymphadenopathy or hepatic *** laparotomy,there was a tumor in the jejunal stump involving the pancreatic tail and ***,the patient underwent jejunal pouch resection,distal pancreatectomy and *** patient was diagnosed with gastric cancer on histopathological examination.

关键词： Gastric cancer Recurrence Jejunal stump

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胃的 Neuroendocrine 癌: 一份案例报告

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World Journal of Gastrointestinal Surgery 2014年第4期6卷 77-79页

作者： Sang hyun Kang Kwang hee kim Sang hyuk Seo Min Sung An Tae Kwun ha ha Kyung Park Ki Beom Bae Chang soo Choi Sang hun Oh Young Kil Choi Department of Surgery Busan Paik HospitalInje University College of Medicine

Neuroendocrine carcinoma(NEC)is a rare tumor,comprising<1%of stomach cancers.A 55-year-old woman was referred to our hospital with biopsy-proven gastric cancer.A shallow ulcerative lesion was detected in the lesser curvature of the lower *** was suspected to be early gastric cancerⅡA+ⅡC ***,endoscopic submucosal dissection was *** was subsequently diagnosed with NEC,which is aggressive and carries a poor *** conducted a radical resection and a laparoscopic-assisted distal *** tumor had infiltrated the subserosal layer and6/42 lymph nodes were *** mitotic index was16/10 high power fields and the Ki-67 labeling index was 26%-50%.The final diagnosis of NEC was made according to the World health Organization 2010 *** was suspected of having jumping metastasis to the proximal *** patient was treated with an oral anticancer drug(5-flurouracil based drug)for2 *** patient has been followed up for 3 years without recurrence.

关键词： Neuroendocrine carcinoma Mitosis Ki-67 Gastrectomy Prognosis

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