A Rare Case of Lymph Node Metastasis from Early Gastric Cancer
Clinical Endoscopy
;
: 369-372, 2019.
Article
in English
| WPRIM
| ID: wpr-763450
ABSTRACT
Gastric cancers that fulfill the Japanese criteria for curative endoscopic resection show a low risk of lymph node (LN) metastasis. Here, we report a case of LN metastasis from early gastric cancer that fulfilled the curative criteria. A 74-year-old Japanese woman was referred to our hospital for treatment of early gastric cancer identified at the site of a hyperplastic polyp that had been diagnosed 10 years prior to presentation. Contrast-enhanced computed tomography did not show any lymphadenopathy and laparoscopy-assisted distal gastrectomy was performed. Histopathological examination revealed a predominantly moderately differentiated adenocarcinoma that measured 15 mm in size and was confined to the mucosa. However, a single metastatic regional LN was observed. A few cancer cells showed positive staining for alpha-fetoprotein. It should be noted that early gastric cancer can be accompanied by LN metastasis even if it fulfills the criteria for curative endoscopic resection.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polyps
/
Stomach Neoplasms
/
Adenocarcinoma
/
Alpha-Fetoproteins
/
Asian People
/
Gastrectomy
/
Lymph Nodes
/
Lymphatic Diseases
/
Mucous Membrane
/
Neoplasm Metastasis
Type of study:
Prognostic study
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Clinical Endoscopy
Year:
2019
Type:
Article
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