Gastric Neuroendocrine Carcinoma with Rapid Progression

被引:15
作者
Iwamoto, Maho [1 ]
Gotoda, Takuji [1 ]
Noda, Yasuhiro [1 ]
Esaki, Mitsuru [1 ]
Moriyama, Mitsuhiko [1 ]
Yoshida, Nao [2 ]
Takayama, Tadatoshi [2 ]
Kobayashi, Hiroko [3 ]
Masuda, Shinobu [3 ]
机构
[1] Nihon Univ, Dept Internal Med, Div Gastroenterol & Hepatol, Sch Med, Tokyo, Japan
[2] Nihon Univ, Dept Digest Surg, Sch Med, Tokyo, Japan
[3] Nihon Univ, Dept Pathol, Sch Med, Tokyo, Japan
关键词
gastric neuroendocrine carcinoma; gastric cancer; MIXED ADENONEUROENDOCRINE CARCINOMA; STOMACH; TUMORS; EPIDEMIOLOGY; PATHOLOGY; CELL;
D O I
10.2169/internalmedicine.3961-19
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
As gastric neuroendocrine carcinoma (NEC) is a rapidly growing cancer, most cases are diagnosed at advanced stages. We herein report a 74-year-old woman with an early-stage gastric NEC whose history included endoscopic submucosal dissection treatment for three early-stage gastric cancer lesions five years prior to the current presentation. We also describe the changes observed over time. An endoscopic examination during follow-up revealed an NEC (measuring 6 mm) in the gastric vestibule, for which distal gastrectomy was performed. Four months before surgery, the carcinoma exhibited specific morphological changes and lymphovascular invasion (despite the tumor being stage 1), suggesting a high-grade NEC.
引用
收藏
页码:1271 / 1276
页数:6
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