A Rare Case of Lymph Node Metastasis from Early Gastric Cancer
Clinical Endoscopy
; : 369-372, 2019.
Article
en En
| WPRIM
| ID: wpr-763450
Biblioteca responsable:
WPRO
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.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Pólipos
/
Neoplasias Gástricas
/
Adenocarcinoma
/
Alfa-Fetoproteínas
/
Pueblo Asiatico
/
Gastrectomía
/
Ganglios Linfáticos
/
Enfermedades Linfáticas
/
Membrana Mucosa
/
Metástasis de la Neoplasia
Tipo de estudio:
Prognostic_studies
Límite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Clinical Endoscopy
Año:
2019
Tipo del documento:
Article