Extensive Bone Metastasis following Curative Endoscopic Submucosal Dissection for Early Gastric Cancer: A Case Report.
10.7704/kjhugr.2016.16.1.46
- Author:
Dongjun SON
1
;
Hyeonjong KIM
;
Myung Seo KI
;
Jin Woong KIM
;
Kyung Hwa LEE
;
Woo Kyun BAE
;
Wansik LEE
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. iliad@jnu.ac.kr, drwookyun@jnu.ac.kr
- Publication Type:Case Report
- Keywords:
Early gastric cancer;
Endoscopic submucosal dissection;
Bone metastasis
- MeSH:
Adenocarcinoma;
Biopsy;
Endoscopy;
Fatigue;
Female;
Follow-Up Studies;
Humans;
Middle Aged;
Mucous Membrane;
Neoplasm Metastasis*;
Recurrence;
Stomach Neoplasms*;
Ulcer;
Weight Loss
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2016;16(1):46-51
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The therapeutic indication for endoscopic submucosal dissection (ESD) can be expanded to treat small-sized (<2 cm) early gastric cancer (EGC) with undifferentiated histology. Here, we report the case of a 62-year-old woman in whom EGC was initially diagnosed by endoscopy and CT. She subsequently underwent ESD. Histological examination revealed a mixed type adenocarcinoma with poorly differentiated histology confined to the mucosa without ulcer and lymphovascular involvement. Subsequent regular examinations showed no recurrence for 7 years. She complained of fatigue and weight loss on the 7th year of follow-up. Radiologic examination showed multiple bone metastases and the bone biopsy specimen revealed adenocarcinoma resembling the previous EGC.
