A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas
Clinical Endoscopy
;
: 192-195, 2018.
Article
Dans Anglais
| WPRIM
| ID: wpr-713155
ABSTRACT
Heterotopic pancreas in the stomach is usually asymptomatic and benign. Here, we presented a rare case of an early gastric cancer overlying a heterotopic pancreas. A 48-year-old woman underwent esophagogastroduodenoscopy, which revealed a subepithelial mass measuring 2.0×1.5 cm on the gastric antrum with a 1-cm erosive erythematous discoloration on the surface. A biopsy specimen showed moderately differentiated tubular adenocarcinoma. Endosonography showed a heterogeneous hypoechoic mass measuring 1.3×0.6 cm, with indistinct margins in the second and third layers of the gastric wall; anechoic tubular structures within the mass were suggestive of heterotopic pancreas. Distal gastrectomy was performed, which confirmed an early gastric cancer confined to the mucosa, and a separate underlying heterotopic pancreas. Although heterotopic pancreas is most likely benign, careful endoscopic observation of the mucosal surface is necessary to avoid overlooking a coincident early gastric cancer.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pancréas
/
Antre pylorique
/
Estomac
/
Tumeurs de l'estomac
/
Biopsie
/
Adénocarcinome
/
Endoscopie digestive
/
Endosonographie
/
Gastrectomie
/
Muqueuse
Limites du sujet:
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Clinical Endoscopy
Année:
2018
Type:
Article
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