Clinicopathological features of missed synchronous multiple early gastric cancer
10.3760/cma.j.cn321463-20210308-00909
- VernacularTitle:漏诊型同时性多发早期胃癌的临床病理特征分析
- Author:
Xue GUAN
1
;
Qian ZHANG
;
Jie XING
;
Shengtao ZHU
;
Xiujing SUN
;
Shutian ZHANG
Author Information
1. 首都医科大学附属北京友谊医院消化内科 国家消化系统疾病临床医学研究中心 北京市消化疾病中心 首都医科大学消化病学系 消化疾病癌前病变北京市重点实验室，北京 100050
- Keywords:
Stomach neoplasms;
Synchronous multiple early gastric cancer;
Missed lesions;
Clinicopathological features
- From:
Chinese Journal of Digestive Endoscopy
2022;39(1):60-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinicopathological features of missed synchronous multiple early gastric cancer (SMEGC).Methods:Clinical and pathological data of 10 missed SMEGC patients in Beijing Friendship Hospital collected from January 2015 to December 2019 were reviewed for the clinicopathological and endoscopic features.Results:Ten missed SMEGC patients were all over 60 years old, and 6 of them were males. Six patients had family history of tumor and 6 had comorbidity (hypertension, diabetes, dyslipidemia, cardiovascular or cerebrovascular diseases). In terms of endoscopic and pathological manifestations, missed lesions of 6 cases were not smaller than the initial lesions, and more than half of the missed lesions had the same vertical location in the stomach (6/10), infiltration depth (8/10), histological classification (9/10), atrophic (8/10) and intestinal metaplasia (8/10) as the initial lesions.Conclusion:Physicians should be aware of the possibility of missed lesions during the first endoscopic treatment and the follow-up, especially at the same vertical location of the initial lesions in elderly males with family history of tumor and comorbidity.
