Recurrence of gastric cancer in the jejunal stump after radical total gastrectomy

Figure 1 Endoscopic findings. There was a medium-sized single small polypoid infiltrative ill-defined mass, with nodular overlying mucosa without bleeding evidence at jejunal pouch (1.2 cm in diameter). Tubular adenocarcinoma, well differentiated.

Figure 2 Pathological findings. A: January 2008, slide of gastric cancer lesion (primary lesion); B: December 2011, slide of jejunal stump lesion (recurrent lesion).

Figure 3 Pre-operation computed tomography findings. No evidence of local tumor recurrence or distant metastasis. Arrow: Distal jejunal stump stapling line (recurrence site).