A sudden elevated phyma as the first symptom of the recurrence of early gastric cancer: a case report and review of literature

作者：Chen Xiaowan; Song Yongxi; Wang Zhenning

来源：International Journal of Clinical and Experimental Medicine, 2016, 9(1): 397-402.

• Early gastric cancer
• bone metastasis
• systemic adjuvant chemotherapy

Patients with early gastric cancer (EGC) without lymph node metastasis have low rates of recurrence. In this case, we describe a patient without lymph node metastasis five years ago but presenting with a sudden elevated phyma as the first symptom of the recurrence now. Though it is an individual case, whether the patients of EGC with some risk factors in clinical practice need systemic adjuvant chemotherapy is worth discussing. Furthermore, we propose a recommendation if the tumor invade the submucosa, this population need systemic adjuvant chemotherapy regardless of lymph node metastasis.

• 出版日期2016
• 单位中国医科大学