| Theme | Carcinoma in Remnant Stomach | |
|---|---|---|
| Title | Aspect, Definition, and Classification of Car-cinoma in Remnant Stomach | |
| Publish Date | 1997/12 | |
| Author | Michio Sowa | First Department of Surgery, Osaka City University Medical School |
| [ Summary ] | There is no established definition or classification of carcinoma in the remnant stomach. In a narrow sense, it is a tumor that has developed in the remnant stomach following surgery (usually more than ten years), after an initial gastrectomy for a benign lesion. In the meantime, tumors that have developed in the gastric remnant after resection for malignant lesions are complex. At present, all tumors involving the gastric remnant are classified under the category of cancer of the remnant stomach. In this article, we have related the conventional definitions and classifications, in general, as well as pointing out problems confronting us. For example, in the case of a patient who was gastrectomized for malignant lesions, how can we dis-tinguish between a recurrence of the primary malignant gastric tumor and a lesion that has developed in the remnant stomach as one of concomitant multiple gastric lesions? Furthermore, it is difficult to differentiate a tumor that is one of chronologically different multiple lesions and a primary tumor that has newly developed in the gastric remnant. It is important to characterize a gastric lesion at the first operation. Simultaneously, it is necessary to examine the gastric mucosa to ascertain whether these are risk factors responsible for recurrence. Recently, clinical surgeons have been attempted minimal surgery for early gastric cancer. Under these circumstances, we would like to stress the importance of elucidating, more precisely, carcinogenesis in the gastric remnant. |
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