A case of single lymph node metastasis near the common hepatic artery following a curative endoscopic resection for gastric mucosal cancer

被引:8
作者
Kim, Dong Jin [1 ]
Kim, Wook [1 ]
机构
[1] Catholic Univ Korea, Coll Med, Yeouido St Marys Hosp, Div GI Surg,Dept Surg, Seoul 150713, South Korea
关键词
Endoscopic resection; Early gastric cancer; Lymph node metastasis; SUBMUCOSAL DISSECTION; RISK;
D O I
10.1007/s10120-013-0260-z
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Although the absolute indication for endoscopic resection (ER) in gastric cancer is widely accepted, expanded indication for endoscopic submucosal dissection (ESD) is still regarded as investigational because of the risk of concomitant lymph node (LN) metastasis or recurrence following ESD. However, LN metastasis in early gastric cancer confined to absolute indication for ER cannot be negligible. Herein we report a 72-year-old man who underwent laparoscopic distal gastrectomy for LN metastasis around the common hepatic artery following curative ESD to the lesion that had met as an absolute indication for ER 1 year ago. There was only one metastatic LN near the common hepatic artery (LN 8), without malignancy at the ESD site or other harvested LNs.
引用
收藏
页码:387 / 391
页数:5
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