A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas.
- Author:
Jung Bin YOON
1
;
Bong Eun LEE
;
Dae Hwan KIM
;
Do Youn PARK
;
Hye Kyung JEON
;
Dong Hoon BAEK
;
Gwang Ha KIM
;
Geun Am SONG
Author Information
- Publication Type:Case Report
- Keywords: Early gastric cancer; Heterotopic pancreas; Ectopic pancreas; Endosonography
- MeSH: Adenocarcinoma; Biopsy; Endoscopy, Digestive System; Endosonography; Female; Gastrectomy; Humans; Middle Aged; Mucous Membrane; Pancreas*; Pyloric Antrum; Stomach; Stomach Neoplasms*
- From:Clinical Endoscopy 2018;51(2):192-195
- CountryRepublic of Korea
- Language:English
- Abstract: Heterotopic pancreas in the stomach is usually asymptomatic and benign. Here, we presented a rare case of an early gastric cancer overlying a heterotopic pancreas. A 48-year-old woman underwent esophagogastroduodenoscopy, which revealed a subepithelial mass measuring 2.0×1.5 cm on the gastric antrum with a 1-cm erosive erythematous discoloration on the surface. A biopsy specimen showed moderately differentiated tubular adenocarcinoma. Endosonography showed a heterogeneous hypoechoic mass measuring 1.3×0.6 cm, with indistinct margins in the second and third layers of the gastric wall; anechoic tubular structures within the mass were suggestive of heterotopic pancreas. Distal gastrectomy was performed, which confirmed an early gastric cancer confined to the mucosa, and a separate underlying heterotopic pancreas. Although heterotopic pancreas is most likely benign, careful endoscopic observation of the mucosal surface is necessary to avoid overlooking a coincident early gastric cancer.
