A Case of Gastric Neuroendocrine Carcinoma Presenting as Early Gastric Cancer Diagnosed by Endoscopic Submucosal Dissection.
10.7704/kjhugr.2012.12.4.271
- Author:
Young Kyeong SEO
1
;
Ji Hyun KIM
;
Young Jin SONG
;
Min Jeong SEOK
;
Il Su KIM
;
Young Seok BAE
;
Young Jin PARK
;
Bo Mi KIM
Author Information
1. Department of Internal Medicine, Inje University College of Medicine, Busan, Korea. zep2000@hanafos.com
- Publication Type:Case Report
- Keywords:
Neuroendocrine carcinoma;
Early gastric cancer;
Endoscopic submucosal dissection
- MeSH:
Adenocarcinoma;
Carcinoma, Neuroendocrine;
Endoscopy;
Female;
Humans;
Mass Screening;
Middle Aged;
Prognosis;
Stomach Neoplasms
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2012;12(4):271-275
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastric neuroendocrine carcinomas are very rare, when compared with gastric adenocarinomas. In addition, it is difficult to distinguish between gastric adenocarcinoma and gastric neuroendocrine carcinoma histol-ogically without immunohistochemical staining. In most of the reported cases, neuroendocrine carcinomas were diagnosed at an advanced stage, confirmed postoperatively by histological examinations using immunohistochemical staining and associated with a poor prognosis. A 55-year-old woman was diagnosed as cellular atypia by screening endoscopy for her health check-up at a local clinic. Histological examination from the endoscopic specimen revealed suspicious early gastric cancer. Endoscopic submucosal dissection was performed for therapeutic and diagnostic purposes and the pathologic findings revealed neuroendocrine carcinoma. Herein, we report a case of gastric neuroendocrine carcinoma presenting as early gastric cancer that was diagnosed by endoscopic submucosal dissection.
