TY - JOUR
T1 - A case of late lymph node metastasis after three endoscopic mucosal resections of intramucosal gastric cancers
AU - Bouoka, Eisuke
AU - Takahashi, Tsunehiro
AU - Tokizawa, Kazunori
AU - Uchi, Yusuke
AU - Okamura, Akihiko
AU - Fukuda, Kazumasa
AU - Nakamura, Rieko
AU - Wada, Norihito
AU - Kawakubo, Hirofumi
AU - Saikawa, Yoshirou
AU - Omori, Tai
AU - Takeuchi, Hiroya
AU - Sasaki, Aya
AU - Mikami, Shuji
AU - Kumai, Koichiro
AU - Kameyama, Kaori
AU - Kitagawa, Yuko
N1 - Publisher Copyright:
© 2014 Booka et al.
PY - 2014/11/11
Y1 - 2014/11/11
N2 - 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.
AB - 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.
KW - Endoscopic mucosal resection (EMR)
KW - Intramucosal gastric cancer
KW - Lymph node metastasis
KW - Piecemeal resection
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U2 - 10.1186/1477-7819-12-339
DO - 10.1186/1477-7819-12-339
M3 - Article
C2 - 25385300
AN - SCOPUS:84920774725
SN - 1477-7819
VL - 12
JO - World Journal of Surgical Oncology
JF - World Journal of Surgical Oncology
IS - 1
M1 - 339
ER -
