A Case of Early Gastric Cancer with Solitary Metastasis to the Pleura.
- Author:
Eun Jung HWANG
1
;
Jae Young JANG
;
Yun Wha KIM
;
Seok Ho DONG
;
Hyo Jong KIM
;
Byung Ho KIM
;
Young Woon CHANG
Author Information
1. Department of Gastroenterology, Kyung Hee University School of Medicine, Seoul, Korea. jyjang@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Neoplasm metastasis;
Stomach neoplasms;
Pleura;
Lymphatic metastasis
- MeSH:
Aged;
Endoscopy;
Endosonography;
Female;
Humans;
Incidence;
Korea;
Lymphatic Metastasis;
Neoplasm Metastasis*;
Pleura*;
Pleural Effusion;
Stomach Neoplasms*
- From:Clinical Endoscopy
2013;46(6):666-670
- CountryRepublic of Korea
- Language:English
-
Abstract:
The incidence of early gastric cancer (EGC) has increased to >50% in Korea owing to a higher detection rate caused by rapid advances in diagnostic instrumentation. EGC with distant metastasis has been rarely reported. Here, we report the case of a 76-year-old woman in whom general EGC was initially diagnosed by endoscopy and endoscopic ultrasonography. She subsequently underwent endoscopic submucosal dissection (ESD). Histological examination of the ESD specimen revealed that neoplastic cells were located predominantly in the submucosal layer and submucosal lymphatic channels. Metastatic cancer cells were also found in the pleural effusion. After conducting all analyses, including immunohistochemical staining, we concluded that the patient had primary EGC with pleural metastasis.
