Recurrence of Early Gastric Cancer in 5-Years Following Endoscopic Submucosal Dissection.
10.7704/kjhugr.2016.16.3.160
- Author:
Shin Seung KIM
1
;
Jin Il KIM
;
Dae Young CHEUNG
;
Hyun Jin NOH
;
Sae Bom SHIN
;
Yu Na JANG
;
Dong Jin KIM
;
Wook KIM
Author Information
1. Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Endoscopic submucosal dissection;
Early gastric cancer;
Recurrence
- MeSH:
Adenocarcinoma;
Adenoma;
Aged;
Endoscopy;
Gastrectomy;
Gastritis;
Humans;
Inflammation;
Lymph Node Excision;
Lymph Nodes;
Metaplasia;
Neoplasm Metastasis;
Recurrence*;
Stomach Neoplasms*
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2016;16(3):160-164
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Treatment of choice for early gastric cancer has changed from curative surgery to endoscopic therapy. And the indications for endoscopic treatment of early gastric cancer are expanded. A 70-year-old man was referred for further management of early gastric cancer. In endoscopy, early gastric cancer was suspected at antrum, greater curvature side of gastric body. Endoscopic submucosal dissection was performed. Histology revealed a 6.9×2.7-cm-sized tubular adenocarcinoma, moderately differentiated type and resection margin was negative. Following endoscopy was performed annually. Histology has changed from chronic inflammation to chronic gastritis with intestinal metaplasia, tubular adenoma with low grade dysplasia, tubular adenoma with high grade dysplasia year by year. Laparoscopic subtotal gastrectomy with lymphadenectomy was performed. Histologic finding showed well differentiated tubular adenocarcinoma confined in mucosal layer without lymph node metastasis.
