Submucosal Tumor-like Early-stage Mucinous Gastric Carcinoma: A Case Study.
10.4166/kjg.2013.62.2.122
- Author:
Chan Hui YOO
1
;
Seun Ja PARK
;
Moo In PARK
;
Won MOON
;
Hyung Hun KIM
;
Jun Sik LEE
;
Jun Young SONG
;
Hee Kyung JANG
Author Information
1. Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. parksj6406@daum.net
- Publication Type:Case Reports
- Keywords:
Stomach;
Neoplasms;
Mucins
- MeSH:
Adenocarcinoma, Mucinous/*diagnosis/pathology/ultrasonography;
Adult;
Early Detection of Cancer;
Endoscopy, Digestive System;
Female;
Humans;
Mucous Membrane/pathology;
Neoplasm Staging;
Stomach Neoplasms/*diagnosis/pathology/ultrasonography;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2013;62(2):122-125
- CountryRepublic of Korea
- Language:English
-
Abstract:
Mucinous gastric carcinoma (MGC) is an unusual histologic subtype, and early detection of MGC is very rare. Early-stage MGC appears as an elevated lesion resembling a submucosal tumor (SMT) due to abundant mucin pools in the submucosa or mucosa. We report a rare case of SMT-like early-stage MGC. Tumor type was predicted preoperatively based on characteristic endoscopic findings, in which an SMT-like mass was observed at the gastric fundus. The tumor was covered by nearly normal mucosa, but with an opening allowing for the passage of copious mucus discharge. A total gastrectomy with Roux-en-Y esophagojejunostomy was subsequently performed. Histopathology of the tumor revealed early-stage (lamina propria) mucinous adenocarcinoma.
