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Although the prognosis of early gastric cancer (EGC) is considered to be
satisfactory, some patients experience tumor relapse after curative surgery.
Both pathogenesis and risk factors of recurrence remain unclear. We describe a
case report of a 49-year-old male who underwent subtotal gastric resection D2A
for angular gastric cancer. Histological examination revealed gastric adenocarcinoma
with low grade of differentiation and colloid areas, intramucosal, and absence
of neoplastic proliferation in the surgical margins, in omental stroma and in
the six examined lymph nodes (pT1, pN0). 11 years later, the same patient underwent
D2 total gastrectomy for gastric cancer in the remnant stomach. New
histological examination revealed again gastric adenocarcinoma, intramucosal,
medium degree of differentiation, no documentable neoplastic proliferation
within the limits of surgical resection, in the thirty-three examined lymph
nodes and in the omentum (pT1, pN0).