Early gastric cancer with spreading to heterotopic gastric glands in the submucosa: A case report and review of the literature

被引:10
作者
Hagiwara T. [1 ]
Kakushima N. [1 ]
Imai K. [1 ]
Tanaka M. [1 ]
Takao T. [1 ]
Hotta K. [1 ]
Yamaguchi Y. [1 ]
Takizawa K. [1 ]
Matsubayashi H. [1 ]
Ono H. [1 ]
Oishi T. [2 ]
Nakajima T. [2 ]
机构
[1] Division of Endoscopy, Shizuoka Cancer Center, Nagaizumi, Suntogun, Shizuoka 411-8777
[2] Division of Pathology, Shizuoka Cancer Center, Shizuoka
关键词
Early gastric cancer; Endoscopic resection; Heterotopic gastric glands;
D O I
10.1007/s12328-014-0455-9
中图分类号
学科分类号
摘要
We report two cases of early gastric cancer (EGC) with spreading to heterotopic gastric glands (HGG). The first case was a submucosal-tumor-like EGC and proximal gastrectomy was performed. The second case was a slightly elevated EGC and endoscopic submucosal dissection was performed. In both cases, pathological results showed adenocarcinoma spreading to the HGG in the submucosa. The depth of cancer was diagnosed as intramucosal carcinoma because cancer was limited to the epithelium of HGG without invasion to the submucosal stroma. There is no clear guideline concerning the management of early gastric cancers with spreading to heterotopic gastric glands. © 2014 Springer.
引用
收藏
页码:123 / 128
页数:5
相关论文
共 28 条
  • [1] Iwanaga T., Koyama H., Takahashi Y., Et al., Diffuse submucosal cysts and carcinoma of the stomach, Cancer, 36, pp. 606-614, (1975)
  • [2] Yamagiwa H., Matsuzaki O., Ishihara A., Yoshimura H., Heterotopic gastric glands in the submucosa of the stomach, Acta Pathologica Japonica, 29, 3, pp. 347-350, (1979)
  • [3] Rubio C.A., Mandai K., Gastric adenocarcinomas in displaced mucosal glands, Anticancer Research, 19, 3 B, pp. 2381-2385, (1999)
  • [4] Oberman H.A., Lodmell J.G., Sower N.D., Diffuse heterotopic cystic malformation of the stomach, N Engl J Med, 269, pp. 909-911, (1963)
  • [5] Sato N., Kitagami H., Yokoyama K., Ikeda J., Sunaga D., Shinzato Y., Ozawa T., Ikeda H., Katoh H., A Case Report of Multiple Early Gastric Cancer with Submucosal Gastric Gland Heterotopia, Japanese Journal of Gastroenterological Surgery, 37, 2, pp. 142-146, (2004)
  • [6] Kosugi S., Kanda T., Hatakeyama K., Adenocarcinoma arising from heterotopic gastric mucosa in the stomach, J Gastroenterol Hepatol, 21, pp. 483-484, (2006)
  • [7] Sugawara T., Sakuma A., Ouchi A., Et al., Early stomach cancer derived from heterotopic glands - A case report, Gan No Rinsho, 29, pp. 1351-1355, (1983)
  • [8] Hara T., Hasui H., Moriguchi M., Et al., Early gastric cancer associated with solitary submucosal heterotopic gastric glands: Report of a case, Stomach Intestine, 29, pp. 1089-1093, (1994)
  • [9] Kim D.H., Kim K.M., Oh S.J., Et al., Early gastric cancer arising from heterotopic gastric mucosa in the gastric submucosa, J Korean Surg Soc, 80, (2011)
  • [10] Yoshimitsu S., Tada S., Goda K.-I., Oowan T., Suko H., Kamio T., Kawano Y., Matsumoto T., Three cases of diffuse cystic malformation accompanied by early gastric cancer, Gastroenterological Endoscopy, 45, 6, pp. 1036-1043, (2003)