1.Endoscopic Submucosal Dissection for Early Gastric Cancer in a Patient with Myelodysplastic Syndrome.
Eun Joo LIM ; Eun Hui SIM ; Byung Wook KIM ; Jong In KIM ; Joon Sung KIM ; Jeong Seon JI ; Hwang CHOI
The Korean Journal of Gastroenterology 2015;65(3):173-176
Endoscopic submucosal dissection (ESD) has been successfully performed in thrombocytopenic conditions such as in patients with liver cirrhosis but successful ESD for early gastric cancer (EGC) in hematologic diseases has rarely been reported. A 52-year-old male patient, who had previously been diagnosed with myelodysplastic syndrome 2 years ago, was admitted to our hospital for ESD of EGC. ESD was performed successfully in this patient after platelet concentrates transfusion on the day of ESD. ESD might be an option for the treatment of EGC in thrombocytopenia due to hematologic diseases when optimal supportive managements are applied.
Early Detection of Cancer
;
Endosonography
;
Gastric Mucosa/*surgery
;
Gastroscopy
;
Humans
;
Male
;
Middle Aged
;
Myelodysplastic Syndromes/complications/*diagnosis/pathology
;
Stomach Neoplasms/complications/*diagnosis/pathology
;
Tomography, X-Ray Computed
2.A Case of Inguinal Sparganosis Mimicking Myeloid Sarcoma.
Jin Yeob YEO ; Jee Young HAN ; Jung Hwan LEE ; Young Hoon PARK ; Joo Han LIM ; Moon Hee LEE ; Chul Soo KIM ; Hyeon Gyu YI
The Korean Journal of Parasitology 2012;50(4):353-355
We report here a case of inguinal sparganosis, initially regarded as myeloid sarcoma, diagnosed in a patient undergone allogeneic hematopoietic transplantation (HSCT). A 56-year-old male patient having myelodysplastic syndrome was treated with allogeneic HSCT after myeloablative conditioning regimen. At day 5 post-HSCT, the patient complained of a painless palpable mass on the left scrotum and inguinal area. Pelvic magnetic resonance imaging and computed tomography revealed suspected myeloid sarcoma. Gun-biopsy was performed, and the result revealed eosinophilic infiltrations without malignancy. Subsequent serologic IgG antibody test was positive for sparganum. Excisional biopsy as a therapeutic diagnosis was done, and the diagnosis of sparganosis was confirmed eventually. This is the first report of sparganosis after allogeneic HSCT mimicking myeloid sarcoma, giving a lesson that the physicians have to consider the possibility of sparganosis in this clinical situation and perform adequate diagnostic and therapeutic approaches.
Animals
;
Diagnosis, Differential
;
Hematopoietic Stem Cell Transplantation
;
Humans
;
Larva
;
Magnetic Resonance Imaging
;
Male
;
Middle Aged
;
Myelodysplastic Syndromes/complications/surgery
;
Republic of Korea
;
Sarcoma, Myeloid/diagnosis
;
Scrotum/parasitology/*pathology
;
Sparganosis/parasitology/*pathology/radiography
;
Sparganum/*immunology/isolation & purification
;
Tomography, X-Ray Computed
;
Transplantation, Homologous