DISEASE-FREE SURVIVAL FOR 6 YEARS AND 4 MONTHS AFTER DISSECTION OF RECURRENT ABDOMINAL PARAAORTIC NODES (NO 16) IN GASTRIC-CANCER - REPORT OF A CASE

We herein report the case of a 63-year-old woman who underwent curativ e surgery consisting of a subtotal gastrectomy with D2 lymph node diss ection for advanced stomach cancer in June 1984, and later underwent s ystemic dissection of recurrent abdominal paraaortic lymph nodes by a retromesenteric approach in June 1989, Metastatic nodes were found in nos. 16b1 (interaorticocaval), 16b2 (interaorticocaval), and 280 (aort ic carinal). One of the resected nodes, which was histologically diagn osed as being poorly differentiated adenocarcinoma, measured approxima tely 10 x 7 cm and infiltrated the inferior caval vein, There was no d istant metastasis except for nodal metastases. Since the reoperation, the patient has been disease free for 6 years and 4 months, and she co ntinues to visit our hospital as an outpatient, The findings of this c ase therefore suggest the significance of paraaortic lymph node dissec tion. To our knowledge, this is the first report in the world of a gas tric cancer patient who has remained disease-free for more than 5 year s after the systemic dissection of recurrent paraaortic lymph nodes.