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 |
| 巻 | 38 |
| 発行部数 | 4 |
| DOI | |
| 出版物ステータス | 出版済み - 4 2018 |
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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
}
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 -