Gastric cancer of "Crawling type" detected by additional gastrectomy after endoscopic submucosal resection

Yasuhiro Haruta, Ryota Nakanishi, Tomoko Jogo, Yuichiro Nakashima, Hiroshi Saeki, O. K.I. Eiji, Minako Fujiwara, O. D.A. Yoshinao, Yoshihiko Maehara

研究成果: ジャーナルへの寄稿記事

抄録

“Crawling type” gastric cancer (GC) is known as a rare variant of early GCs, which is difficult to diagnose at an early stage because of low-grade nuclear atypia and a morphology mimicking intestinal metaplasia. This is a case report of a 69-year-old woman who was diagnosed with early-stage gastric cancer. She had endoscopic submucosal resection (ESD) and histologically, both horizontal and vertical margins were negative. Seven months after ESD, a new lesion of the stomach was detected by follow-up gastroscopy. Laparoscopic distal gastrectomy was performed and “crawling type” glands were observed throughout the whole area of the tumor. We should keep this variant in mind, especially when a tumor is superficial depressed or superficial flat type in the middle of the stomach. Careful observation with multiple biopsies of all mucosal layer and a re-biopsy is the key procedure for obtaining the right diagnosis. Endoscopic and histological characteristics should also be reviewed.

元の言語英語
ページ(範囲)2335-2338
ページ数4
ジャーナルAnticancer research
38
発行部数4
DOI
出版物ステータス出版済み - 4 2018

Fingerprint

Gastrectomy
Stomach Neoplasms
Stomach
Biopsy
Gastroscopy
Metaplasia
Neoplasms
Observation

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

これを引用

Gastric cancer of "Crawling type" detected by additional gastrectomy after endoscopic submucosal resection. / Haruta, Yasuhiro; Nakanishi, Ryota; Jogo, Tomoko; Nakashima, Yuichiro; Saeki, Hiroshi; Eiji, O. K.I.; Fujiwara, Minako; Yoshinao, O. D.A.; Maehara, Yoshihiko.

:: Anticancer research, 巻 38, 番号 4, 04.2018, p. 2335-2338.

研究成果: ジャーナルへの寄稿記事

Haruta, Yasuhiro ; Nakanishi, Ryota ; Jogo, Tomoko ; Nakashima, Yuichiro ; Saeki, Hiroshi ; Eiji, O. K.I. ; Fujiwara, Minako ; Yoshinao, O. D.A. ; Maehara, Yoshihiko. / Gastric cancer of "Crawling type" detected by additional gastrectomy after endoscopic submucosal resection. :: Anticancer research. 2018 ; 巻 38, 番号 4. pp. 2335-2338.
@article{d79cbc735cc74d65a71089bfb6bd7283,
title = "Gastric cancer of {"}Crawling type{"} detected by additional gastrectomy after endoscopic submucosal resection",
abstract = "“Crawling type” gastric cancer (GC) is known as a rare variant of early GCs, which is difficult to diagnose at an early stage because of low-grade nuclear atypia and a morphology mimicking intestinal metaplasia. This is a case report of a 69-year-old woman who was diagnosed with early-stage gastric cancer. She had endoscopic submucosal resection (ESD) and histologically, both horizontal and vertical margins were negative. Seven months after ESD, a new lesion of the stomach was detected by follow-up gastroscopy. Laparoscopic distal gastrectomy was performed and “crawling type” glands were observed throughout the whole area of the tumor. We should keep this variant in mind, especially when a tumor is superficial depressed or superficial flat type in the middle of the stomach. Careful observation with multiple biopsies of all mucosal layer and a re-biopsy is the key procedure for obtaining the right diagnosis. Endoscopic and histological characteristics should also be reviewed.",
author = "Yasuhiro Haruta and Ryota Nakanishi and Tomoko Jogo and Yuichiro Nakashima and Hiroshi Saeki and Eiji, {O. K.I.} and Minako Fujiwara and Yoshinao, {O. D.A.} and Yoshihiko Maehara",
year = "2018",
month = "4",
doi = "10.21873/anticanres.12479",
language = "English",
volume = "38",
pages = "2335--2338",
journal = "Anticancer Research",
issn = "0250-7005",
publisher = "International Institute of Anticancer Research",
number = "4",

}

TY - JOUR

T1 - Gastric cancer of "Crawling type" detected by additional gastrectomy after endoscopic submucosal resection

AU - Haruta, Yasuhiro

AU - Nakanishi, Ryota

AU - Jogo, Tomoko

AU - Nakashima, Yuichiro

AU - Saeki, Hiroshi

AU - Eiji, O. K.I.

AU - Fujiwara, Minako

AU - Yoshinao, O. D.A.

AU - Maehara, Yoshihiko

PY - 2018/4

Y1 - 2018/4

N2 - “Crawling type” gastric cancer (GC) is known as a rare variant of early GCs, which is difficult to diagnose at an early stage because of low-grade nuclear atypia and a morphology mimicking intestinal metaplasia. This is a case report of a 69-year-old woman who was diagnosed with early-stage gastric cancer. She had endoscopic submucosal resection (ESD) and histologically, both horizontal and vertical margins were negative. Seven months after ESD, a new lesion of the stomach was detected by follow-up gastroscopy. Laparoscopic distal gastrectomy was performed and “crawling type” glands were observed throughout the whole area of the tumor. We should keep this variant in mind, especially when a tumor is superficial depressed or superficial flat type in the middle of the stomach. Careful observation with multiple biopsies of all mucosal layer and a re-biopsy is the key procedure for obtaining the right diagnosis. Endoscopic and histological characteristics should also be reviewed.

AB - “Crawling type” gastric cancer (GC) is known as a rare variant of early GCs, which is difficult to diagnose at an early stage because of low-grade nuclear atypia and a morphology mimicking intestinal metaplasia. This is a case report of a 69-year-old woman who was diagnosed with early-stage gastric cancer. She had endoscopic submucosal resection (ESD) and histologically, both horizontal and vertical margins were negative. Seven months after ESD, a new lesion of the stomach was detected by follow-up gastroscopy. Laparoscopic distal gastrectomy was performed and “crawling type” glands were observed throughout the whole area of the tumor. We should keep this variant in mind, especially when a tumor is superficial depressed or superficial flat type in the middle of the stomach. Careful observation with multiple biopsies of all mucosal layer and a re-biopsy is the key procedure for obtaining the right diagnosis. Endoscopic and histological characteristics should also be reviewed.

UR - http://www.scopus.com/inward/record.url?scp=85045085744&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045085744&partnerID=8YFLogxK

U2 - 10.21873/anticanres.12479

DO - 10.21873/anticanres.12479

M3 - Article

C2 - 29599357

AN - SCOPUS:85045085744

VL - 38

SP - 2335

EP - 2338

JO - Anticancer Research

JF - Anticancer Research

SN - 0250-7005

IS - 4

ER -