![](/images/graphics-bg.png)
A Case of Mucosal Cancer of the Stomach Treated by Endoscopic Submucosal Dissection after Which Nodal Metastasis Became Evident
Joint Authors
Fujita, Naotaka
Sugawara, Toshiki
Honda, Hiroshi
Oohira, Tetsuya
Hirasawa, Dai
Ito, Kei
Harada, Yoshihiro
Sawai, Takashi
Obana, Takashi
Noda, Yutaka
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-27
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
An 82-year-old male was referred to our institution for evaluation and treatment of a protruding lesion in the stomach.
Esophagogastroduodenoscopy (EGD) showed a small protruding lesion and a large superficial elevated lesion on the lesser curvature of the stomach (macroscopic type: 0-I and 0-IIa, resp.).
CT and endoscopic ultrasonography (EUS) visualized a small round lymph node (LN) 11 mm in size near the lesser curvature, although submucosal invasion was not evident.
These two lesions were resected en bloc by endoscopic submucosal dissection (ESD).
Pathological examination of the resected specimen showed moderately differentiated tubular adenocarcinoma (tub2) and well-differentiated tubular adenocarcinoma (tub1), respectively, which were limited to the mucosal layer.
Because lymphatic-vascular involvement was not detected by hematoxylin and eosin (HE) staining, additional gastrectomy was not performed.
Two months after ESD, follow-up EUS and CT showed an enlarged LN.
EUS-guided fine needle aspiration (EUS-FNA) for the LN revealed metastasis.
Therefore, total gastrectomy with LN dissection was performed.
His postoperative course was uneventful.
After discharge, he has been followed up at the outpatient department without any sign of recurrence for 5 years.
Histological reexamination of the ESD specimen using immunohistochemistry showed lymphatic invasion of cancer cells in the lamina propria of the 0-I lesion 13 mm in size.
American Psychological Association (APA)
Obana, Takashi& Fujita, Naotaka& Noda, Yutaka& Hirasawa, Dai& Ito, Kei& Sugawara, Toshiki…[et al.]. 2013. A Case of Mucosal Cancer of the Stomach Treated by Endoscopic Submucosal Dissection after Which Nodal Metastasis Became Evident. Case Reports in Medicine،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-503556
Modern Language Association (MLA)
Obana, Takashi…[et al.]. A Case of Mucosal Cancer of the Stomach Treated by Endoscopic Submucosal Dissection after Which Nodal Metastasis Became Evident. Case Reports in Medicine No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-503556
American Medical Association (AMA)
Obana, Takashi& Fujita, Naotaka& Noda, Yutaka& Hirasawa, Dai& Ito, Kei& Sugawara, Toshiki…[et al.]. A Case of Mucosal Cancer of the Stomach Treated by Endoscopic Submucosal Dissection after Which Nodal Metastasis Became Evident. Case Reports in Medicine. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-503556
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-503556