患男,53岁。于1989年12月26日在硬外麻醉下行胃癌根治术。取上腹正中切口(从剑下至脐上长约15cm)入腹,术中见胃体部大弯侧有5cm×5cm×3cm肿块,盆腔、肝脏、腹膜未见转移,腹主动脉旁、肝十二指肠韧带等处未触及肿大淋巴结。肿瘤切除后行毕Ⅰ式胃肠吻合,腹壁切口常规冲洗,缝合。术后恢复顺利,伤口甲级愈合。术后病理报告:溃疡型腺癌Ⅱ级侵及胃壁全层,上下切缘未见癌浸润,小弯侧2个淋巴结、大弯侧4～6个淋巴结有癌转移。术后两月行FAM方案化疗时发现腹部切口瘢痕上部深面可触及10cm×5cm肿块,质硬,无活动度,压痛阳性,局部无红肿及渗出。B超示手术后皮下瘢痕组织增生。胃肠造影及 Suffering from a man, 53 years old. On December 26, 1989, radical gastrectomy was performed under hard anesthesia. Take a midline abdominal incision (from the sword down to the umbilicus about 15cm) into the abdomen, intraoperative see the body curvature of the curvature of the side 5cm × 5cm × 3cm, pelvic, liver, peritoneum did not see metastasis, abdominal aorta, Hepatic duodenal ligament, etc. did not touch the enlarged lymph nodes. After the resection of the tumor, a type I gastrointestinal anastomosis was performed, and abdominal wall incisions were routinely washed and sutured. After the surgery recovered smoothly, the wounds healed. Postoperative pathology report: Ulcerated adenocarcinoma grade II invaded the entire wall of the stomach wall. There was no cancer invasion on the upper and lower margins. There were cancer metastases in the 2 lymph nodes on the small curvature side and 4-6 lymph nodes on the major curvature side. Two months after the FAM regimen chemotherapy, a deep 10cm×5cm mass was found on the upper part of the abdominal incision scar, which was hard, motionless, tender and positive, with no local swelling and exudation. B ultrasound showed subcutaneous scar tissue after surgery. Gastrointestinal imaging and