PRIMARY CARCINOMA OF THE STOMACH AFTER GASTRIC RESECTION -REVIEW OF TEN CASES-

Abstract

Ten cases of primary carcinoma of the stomach after gastric resection were experienced during the past six years. The mean age of the patients was 58.6 years, ranging from 41 to 71. Nine of the ten were males, giving a predominance of men. The primary lesions were gastric ulcer in 5 patients, duodenal ulcer in 3, and gastric polyp and traumatic gastric perforation in one each. Previous operations were distal gastrectomy in 9 patients and proximal gastrectomy in one. The time interval between the previous operation and development of carcinoma ranged from 3 to 31 years with an average of 11.8 years. All 4 patients with early carcinoma in Stage I are still alive. One patient in Stage III is still alive 3 years after the operation, and the oter died of some other cause. The survival time of patients in Stage IV was 2 months in one, 3 months in 2 and 2 years in one. In 2 patients with the depressed type of early gastric cancer, diagnosis was made only by endoscpy, X-ray examination did not reveal the lesion clearly. Endoscopy is indispensable in early diagnosis of gastric remnant cancer.