A CASE OF EARLY GASTRIC CANCER AFTER PYLORUS-PRESERVING PANCERATODUODENECTOMY

A 68-year-old male was performed pylorus-preserving pancreatoduodenectomy (PPPD) for a mucinous cystadenoma of the pancreas in 1989. One and a half year later, endoscopic examination revealed protruded lesion of 3cm in diameter at the posterior wall of the gastric body. Pathological diagnosis was group III, tubular adenoma with mild atypia. Four years later, biopsy specimen showed well differentiated adenocacinoma, pathologically. Tumor size was too large to perform strip biopsy, and a local resection of the stomach under open laparotomy was performed after no lymph node involvement was confirmed by imagings. Pathological diagnosis was tubl, m, IFNα, ly0 v0, ow(-) and aw(-). There has been no sign of recurrence, as of one year after the operation. It is inferred that the digestive function preserving operations such as PPPD are increasingly performed from now on, but postoperative period-ical follow up of preserved organs should not be neglected.