A case of late lymph node metastasis after three endoscopic mucosal resections of intramucosal gastric cancers

被引：3

作者：

Booka, Eisuke ^{[1
]}

Takahashi, Tsunehiro ^{[1
]}

Tokizawa, Kazunori ^{[3
]}

Uchi, Yusuke ^{[3
]}

Okamura, Akihiko ^{[1
]}

Fukuda, Kazumasa ^{[1
]}

Nakamura, Rieko ^{[1
]}

Wada, Norihito ^{[1
]}

Kawakubo, Hirofumi ^{[1
]}

Saikawa, Yoshiro ^{[1
]}

Omori, Tai ^{[1
]}

Takeuchi, Hiroya ^{[1
]}

Sasaki, Aya ^{[2
]}

Mikami, Shuji ^{[2
]}

Kumai, Koichiro ^{[3
]}

Kameyama, Kaori ^{[2
]}

Kitagawa, Yuko ^{[1
]}

机构：

[1] Keio Univ, Sch Med, Dept Surg, Shinjuku Ku, Tokyo 1608582, Japan

[2] Keio Univ Hosp, Div Diagnost Pathol, Shinjuku Ku, Tokyo 1608582, Japan

[3] Hino Municipal Hosp, Dept Surg, Hino, Tokyo 1910062, Japan

来源：

WORLD JOURNAL OF SURGICAL ONCOLOGY | 2014年 / 12卷

关键词：

Endoscopic mucosal resection (EMR); Intramucosal gastric cancer; Lymph node metastasis; Piecemeal resection; MUSCULARIS MUCOSAE;

D O I：

10.1186/1477-7819-12-339

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

We describe a patient with solitary lymph node (LN) metastasis after three endoscopic mucosal resections (EMRs) in which a gastrointestinal stromal tumor was difficult to differentiate from the carcinoid and lymphoma tumors. A 77-year-old man underwent three EMRs at 62, 72, and 75 years of age, and all resections were determined to be curative. However, 2 years after the last EMR, screening abdominal ultrasonography detected a 20-mm solitary tumor at the lesser curvature of the upper stomach. Laparoscopic tumor resection confirmed the pathological diagnosis. Intraoperative pathological diagnosis showed that the adenocarcinoma was compatible with recurrence of gastric cancer; thus, total gastrectomy with D1 lymphadenectomy was performed. Metastasis was not recognized by pathological examination but was detected by preoperative radiological examinations of the LN. We report a rare recurrence case after several EMRs of intramucosal gastric cancers.

引用

页数：5

共 13 条

[1]

[Anonymous], 1998, GASTRIC CANCER, DOI DOI 10.1007/PL00011681

[2] Lymph node metastasis after endoscopic submucosal dissection of a differentiated gastric cancer confined to the mucosa with an ulcer smaller than 30 mm [J].

Fujii, Hiroyuki ;

Ishii, Eiji ;

Tochitani, Shinako ;

Nakaji, So ;

Hirata, Nobuto ;

Kusanagi, Hiroshi ;

Narita, Makoto .

DIGESTIVE ENDOSCOPY, 2015, 27 (01) :159-161

[3] Incidence of lymph node metastasis from early gastric cancer: Estimation with a large number of cases at two large centers [J].

Gotoda T. ;

Yanagisawa A. ;

Sasako M. ;

Ono H. ;

Nakanishi Y. ;

Shimoda T. ;

Kato Y. .

Gastric Cancer, 2000, 3 (4) :219-225

[4] Risk for local recurrence of early gastric cancer treated with piecemeal endoscopic mucosal resection during a 10-year follow-up period [J].

Horiki, Noriyuki ;

Omata, Fumio ;

Uemura, Masayo ;

Suzuki, Shoko ;

Ishii, Naoki ;

Fukuda, Katsuyuki ;

Fujita, Yoshiyuki ;

Ninomiya, Katsuhiro ;

Tano, Shunsuke ;

Katurahara, Masaki ;

Tanaka, Kyosuke ;

Gabazza, Esteban C. ;

Takei, Yoshiyuki .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2012, 26 (01) :72-78

[5] Endoscopic ultrasound-guided fine-needle aspiration in patients with lymphadenopathy suspected of recurrent malignancy after curative treatment [J].

Iwashita, Takuji ;

Yasuda, Ichiro ;

Doi, Shinpei ;

Nakashima, Masanori ;

Tsurumi, Hisashi ;

Hirose, Yoshinobu ;

Takami, Tsuyoshi ;

Enya, Masamichi ;

Mukai, Tsuyoshi ;

Ohnishi, Takaya ;

Iwata, Keisuke ;

Tomita, Eiichi ;

Moriwaki, Hisataka .

JOURNAL OF GASTROENTEROLOGY, 2009, 44 (03) :190-196

[6] Japanese gastric cancer treatment guidelines 2010 (ver. 3) [J].

Sano T. ;

Kodera Y. .

GASTRIC CANCER, 2011, 14 (02) :113-123

[7] Clinical outcome after endoscopic mucosal resection for esophageal squamous cell carcinoma invading the muscularis mucosae - a multicenter retrospective cohort study [J].

Katada, C. ;

Muto, M. ;

Momma, K. ;

Arima, M. ;

Tajiri, H. ;

Kanamaru, C. ;

Ooyanagi, H. ;

Endo, H. ;

Michida, T. ;

Hasuike, N. ;

Oda, I. ;

Fujii, T. ;

Saito, D. .

ENDOSCOPY, 2007, 39 (09) :779-783

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

Kim, Dong Jin ;

Kim, Wook .

GASTRIC CANCER, 2014, 17 (02) :387-391

[9] A case of lymph node metastasis following a curative endoscopic submucosal dissection of an early gastric cancer [J].

Oya, Hisaharu ;

Gotoda, Takuji ;

Kinjo, Tetsu ;

Suzuki, Haruhisa ;

Yoshinaga, Shigetaka ;

Taniguchi, Hirokazu ;

Kushima, Ryoji ;

Saka, Makoto ;

Katai, Hitoshi ;

Oda, Ichiro .

GASTRIC CANCER, 2012, 15 (02) :221-225

[10] Long-term outcome after endoscopic mucosal resection in patients with esophageal squamous cell carcinoma invading the muscularis mucosae or deeper [J].

Shimizu, Y ;

Tsukagoshi, H ;

Fujita, M ;

Hosokawa, M ;

Kato, M ;

Asaka, M .

GASTROINTESTINAL ENDOSCOPY, 2002, 56 (03) :387-390

← 1 2 →