A Rare Case of Lymph Node Metastasis from Early Gastric Cancer
Clinical Endoscopy
;
: 369-372, 2019.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pólipos
/
Neoplasias Gástricas
/
Adenocarcinoma
/
Alfa-Fetoproteínas
/
Povo Asiático
/
Gastrectomia
/
Linfonodos
/
Doenças Linfáticas
/
Mucosa
/
Metástase Neoplásica
Tipo de estudo:
Estudo prognóstico
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Clinical Endoscopy
Ano de publicação:
2019
Tipo de documento:
Artigo
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