Korean J Helicobacter Up Gastrointest Res.  2016 Sep;16(3):160-164. 10.7704/kjhugr.2016.16.3.160.

Recurrence of Early Gastric Cancer in 5-Years Following Endoscopic Submucosal Dissection

Affiliations
  • 1Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 2Department of Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. kimwook@catholic.ac.kr

Abstract

Treatment of choice for early gastric cancer has changed from curative surgery to endoscopic therapy. And the indications for endoscopic treatment of early gastric cancer are expanded. A 70-year-old man was referred for further management of early gastric cancer. In endoscopy, early gastric cancer was suspected at antrum, greater curvature side of gastric body. Endoscopic submucosal dissection was performed. Histology revealed a 6.9×2.7-cm-sized tubular adenocarcinoma, moderately differentiated type and resection margin was negative. Following endoscopy was performed annually. Histology has changed from chronic inflammation to chronic gastritis with intestinal metaplasia, tubular adenoma with low grade dysplasia, tubular adenoma with high grade dysplasia year by year. Laparoscopic subtotal gastrectomy with lymphadenectomy was performed. Histologic finding showed well differentiated tubular adenocarcinoma confined in mucosal layer without lymph node metastasis.

Keyword

Endoscopic submucosal dissection; Early gastric cancer; Recurrence

MeSH Terms

Adenocarcinoma
Adenoma
Aged
Endoscopy
Gastrectomy
Gastritis
Humans
Inflammation
Lymph Node Excision
Lymph Nodes
Metaplasia
Neoplasm Metastasis
Recurrence*
Stomach Neoplasms*
Full Text Links
  • KJHUGR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr