J Korean Radiol Soc.  1988 Oct;24(5):825-832. 10.3348/jkrs.1988.24.5.825.

CT diagnosis of recurrence following resection for gastric carcinoma

• Cho OK
• Cho HY
• Kim SY

• KMID: 2359216
• DOI: http://doi.org/10.3348/jkrs.1988.24.5.825

Abstract

There is almost complete lack of specific refenence to the findings of recurrent gastric carcinoma except afew data which have been based on autopsy findings. The purpose of this study is to demonstrate the usefulness ofCT for defining the pattern of recurrence and to compare the results of conventional barium studies to identify the lesion. 1. There were 64 cases of postgastrectomy CT scan of gastric carcinoma during recent 3 years and recurrence evidence was identified in 53 cases. 2. Time lapse between operation and detection of recurrence was variable from 3 months to 6 years. Evidence of recurrence less than 1 year were stage III and IV patients and long survivors more than 5 years were stage I and II patients. 3. Local recurence of gastric remnant or anastomosis area was identified in 10 cases. regional recurrence was noted in 28 cases including 13 gastric bed and 26 lymphnode enlargement. Most frequently enlarged nodes were peripancreatic and paraortic nodes. 4. Peritoneal spread wasthe most frequent pattern of recurrence occuring in 34 cases. Mesenteric mass and ascites were msot frequent findings. 5. Distant metastasis was noted in 12 cases and the liver was the most frequent site. 6. Local recurrence was detected in barium study in half of the cases. Peritoneal seeding was relatively well identified but regional recurrence was very poorly identified.

MeSH Terms

Ascites
Autopsy
Barium
Diagnosis*
Gastric Stump
Humans
Liver
Neoplasm Metastasis
Recurrence*
Survivors
Tomography, X-Ray Computed
Barium