We report a rare case of a resected recurrent lymph node on the posterior surface of the pancreatic head(lymph node No. 13)4 years after total gastrectomy. The patient was a 61-year-old man diagnosed with advanced gastric cancer. We performed total gastrectomy and splenectomy, after which histopathological analysis showed duodenal invasion and lymph node (No.17)metastasis. Because the pathological stage was Stage Ⅳ, he received chemotherapy(S-1 plus CDDP plus trastuzumab) for 1 year. Four years after primary surgery, lymph node(No.13)metastasis was detected on a CT scan. After 4 courses of chemotherapy(capecitabine plus CDDP plus trastuzumab), the size of the metastatic lymph node decreased. Subsequently, we performed surgical resection of the involved lymph node. Histopathological findings showed glanuloma and fibrous tissue without any remnant cancer.