A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas
Clinical Endoscopy
; : 192-195, 2018.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-713155
Responsible library:
WPRO
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pancreas
/
Pyloric Antrum
/
Stomach
/
Stomach Neoplasms
/
Biopsy
/
Adenocarcinoma
/
Endoscopy, Digestive System
/
Endosonography
/
Gastrectomy
/
Mucous Membrane
Limits:
Female
/
Humans
Language:
English
Journal:
Clinical Endoscopy
Year:
2018
Document type:
Article