A Case of Metachronous Gastric Cancer and Follicular Lymphoma after Endoscopic Submucosal Dissection for Early Gastric Cancer.
10.7704/kjhugr.2014.14.3.219
- Author:
Ji Hyeon LEE
1
;
Ki Sun JUNG
;
Hye Bin GWAG
;
Do Hee KIM
;
A Young LIM
;
Jun Haeng LEE
Author Information
1. Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. stomachlee@gmail.com
- Publication Type:Case Report
- Keywords:
Stomach neoplasms;
Local neoplasm recurrence;
Neoplasms, second primary;
Follicular lymphoma
- MeSH:
Adenocarcinoma;
Endoscopy;
Endoscopy, Digestive System;
Humans;
Lymph Nodes;
Lymphoma, Follicular*;
Male;
Middle Aged;
Mucous Membrane;
Neoplasm Metastasis;
Neoplasm Recurrence, Local;
Neoplasms, Second Primary;
Pathology;
Recurrence;
Stomach Neoplasms*;
Tomography, X-Ray Computed
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2014;14(3):219-223
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endoscopic submucosal dissection has become widely used as a minimally invasive treatment for early gastric cancer that has negligible lymph node metastasis. However, local recurrences after successful endoscopic resection including regional lymph node metastasis and metachronous, synchronous recurrence are of clinical importance, so careful follow-up is essential. We performed endoscopic submucosal dissection on a 57-year-old male with early gastric cancer in April 2006. Pathology revealed a well differentiated adenocarcinoma, 8x5 mm in size, which was confined to the muscularis mucosa, and had negative lymphovascular invasion as well as tumor free margins. So the case was diagnosed as a curative resection. The patient was followed up with regular esophagogastroduodenoscopy and abdominal CT. After 8 years, metachronous gastric cancer and peripancreatic lymph nodes enlargement was detected by endoscopy and enhanced computed tomography. Additional endoscopic submucosal dissection and excision of lymph node were carried out separately. Finally, the patient was diagnosed with metachronous early gastric cancer and follicular lymphoma.
