Korean J Helicobacter Up Gastrointest Res.  2015 Dec;15(4):274-278. 10.7704/kjhugr.2015.15.4.274.

A Case of Early Gastric Cancer Resected Completely by Diagnostic Endoscopic Mucosal Resection Presented as Large Gastric Ulcer Bleeding

Affiliations
  • 1Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. srjee@inje.ac.kr

Abstract

During the life cycle of early gastric cancer, some malignant ulcers may undergo partial or complete mucosal repair. Endoscopic visualization alone cannot reliably discriminate benign from malignant gastric ulcers. A 45-year-old man visited our hospital complaining of hematemesis. Endoscopy revealed a 2x2 cm sized, deep ulcer with adherent clots at the posterior wall of the gastric body. Proton pump inhibitor was prescribed for 2 months. Diagnostic endoscopic mucosal resection was performed. Histology revealed an early gastric cancer involving the lamina propria which was resected completely.

Keyword

Early gastric cancer; Endoscopic mucosal resection; Ulcer bleeding

MeSH Terms

Endoscopy
Hematemesis
Hemorrhage*
Humans
Life Cycle Stages
Middle Aged
Mucous Membrane
Proton Pumps
Stomach Neoplasms*
Stomach Ulcer*
Ulcer
Proton Pumps
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