A Case of Submucosal Tumor-like Early Gastric Adenocarcinoma Diagnosed by Endoscopic Mucosal Resection.
- Author:
Se Yune KIM
1
;
Jong Jae PARK
;
Yongik CHO
;
Jong Hwan CHOI
;
Ji Hyun KIM
;
Byung Kyu KIM
;
Ji Hoon KIM
;
Yun Jung CHANG
;
Cheol Hyun KIM
;
Youn Suk SEO
;
Jin Yong KIM
;
Jae Seon KIM
;
Young Tae BAK
Author Information
1. Department of Internal Medicine, Korea University Medical Center Guro Hospital, Korea. gi7pjj@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Early gastric cancer;
Submucosal tumor;
Endoscopic mucosal resection
- MeSH:
Adenocarcinoma*;
Biopsy;
Biopsy, Fine-Needle;
Diagnosis;
Endosonography;
Mucous Membrane;
SNARE Proteins;
Stomach Neoplasms
- From:Korean Journal of Gastrointestinal Endoscopy
2005;31(6):404-408
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In rare cases, early gastric cancer resembles the endoscopic features of a submucosal tumor (SMT). A correct histological diagnosis is difficult with repeated biopsy specimens because they are covered with normal mucosa. Some features known to suggest malignant SMT include a size greater than 3 to 5 cm, a rapid growth rate, echoheterogeneity and irregular margins on endoscopic ultrasonography (EUS). Various techniques including US-guided biopsy, partial removal by an endoscopic snare excision, as well as EUS with a fine needle aspiration were used to enhance the diagnostic accuracy. We recently experienced a case of early gastric cancer, presenting as a submucosal tumor-like lesion, which was confirmed by endoscopic mucosal resection. We report this case with a review of the relevant literature.
