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- W2314473686 abstract "Metachronous double cancer of the stomach occurring in a 75-year-old man with dermatomyositis is presented here. There was a previous history of undergoing distal gastrectomy with Billroth I reconstruction for a Borrmann type 2 gastric cancer at elsewhere in 1977. In March 1991 the patient was admitted to the internal medicine of this hospital because of arthralgia and swelling in the area of the bilateral lower extrimities and hands. He was diagnosed as dermatomyositis by a muscle biopsy. During hospital stay the patient complained of anorexia and discomfort of the epigastrium. Upper gastrointestinal series revealed an advanced cancer of Borrmann type 3 in the lesser curvature of the remnant stomach. He was transferred to the department and underwent total gastrectomy, distal pancreatectomy and splenectomy, cholecystectomy with reconstruction by Roux-en Y anastomosis in June 1991. The serum level of CPK decreased to normal level and his symptoms of dermatomyositis disappeared after gastrectomy. He survived for 9 months after the second operation, but died of recurrence of gastric cancer in March 1992. Dermatomyositis is usually complicated with malignant disease in a high incidence, so careful follow-up is required for the second cancer even after the operation of the first cancer." @default.
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- W2314473686 date "1993-01-01" @default.
- W2314473686 modified "2023-10-16" @default.
- W2314473686 title "METACHRONOUS DOUBLE CANCER OF THE STOMACH OCCURRING IN A PATIENT WITH DERMATOMYOSITIS" @default.
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- W2314473686 doi "https://doi.org/10.3919/ringe1963.54.3077" @default.
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