Linked color imaging technology facilitates early detection of flat gastric cancers

被引：76

作者：

Fukuda H. ^{[1
]}

Miura Y. ^{[1
]}

Hayashi Y. ^{[1
]}

Takezawa T. ^{[1
]}

Ino Y. ^{[1
]}

Okada M. ^{[1
]}

Osawa H. ^{[1
]}

Lefor A.K. ^{[2
]}

Yamamoto H. ^{[1
]}

机构：

[1] Division of Gastroenterology, Department of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, 329-0498, Tochigi

[2] Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi

来源：

Clinical Journal of Gastroenterology | 2015年 / 8卷 / 6期

关键词：

Endoscopy; Flat early gastric cancer; Linked color imaging;

D O I：

10.1007/s12328-015-0612-9

中图分类号：

学科分类号：

摘要：

Conventional endoscopy can miss flat early gastric cancers (0-IIb) because they may not be visible. We treated a patient with synchronous flat early gastric cancers missed by conventional white-light endoscopy (WLE). A 74-year-old Japanese male was referred for endoscopic submucosal dissection (ESD) of a depressed-type early gastric cancer (0-IIc) on the posterior wall of the antrum. Linked color imaging (LCI) detected two flat reddish lesions (0-IIb) measuring 30 mm and 10 mm in diameter in the distal body and prepyloric area, respectively, which had not been detected by conventional WLE. LCI clearly demonstrated the line of demarcation between the malignant lesion and the surrounding mucosa without magnification. Flat early gastric cancers were suspected because both lesions had irregular surface patterns using magnifying blue laser imaging (BLI). An additional depressed lesion (0-IIc) was detected by laser WLE along the greater curvature in the antrum. Magnifying BLI suggested a malignant lesion. Histological examination of biopsy specimens revealed atypical glands in all four lesions. ESD of these lesions was performed. Pathological examination of the resected specimens confirmed well-differentiated adenocarcinoma localized to the mucosa in all four lesions. Flat early gastric cancers became clearly visible using new endoscopic technology. © 2015, Japanese Society of Gastroenterology.

引用

页码：385 / 389

页数：4

共 11 条

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