A case of late lymph node metastasis after three endoscopic mucosal resections of intramucosal gastric cancers

Eisuke Booka, Tsunehiro Takahashi, Kazunori Tokizawa, Yusuke Uchi, Akihiko Okamura, Kazumasa Fukuda, Rieko Nakamura, Norihito Wada, Hirofumi Kawakubo, Yoshiro Saikawa, Tai Omori, Hiroya Takeuchi, Aya Sasaki, Shuji Mikami, Koichiro Kumai, Kaori Kameyama, Yuko Kitagawa

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

We describe a patient with solitary lymph node (LN) metastasis after three endoscopic mucosal resections (EMRs) in which a gastrointestinal stromal tumor was difficult to differentiate from the carcinoid and lymphoma tumors. A 77-year-old man underwent three EMRs at 62, 72, and 75 years of age, and all resections were determined to be curative. However, 2 years after the last EMR, screening abdominal ultrasonography detected a 20-mm solitary tumor at the lesser curvature of the upper stomach. Laparoscopic tumor resection confirmed the pathological diagnosis. Intraoperative pathological diagnosis showed that the adenocarcinoma was compatible with recurrence of gastric cancer; thus, total gastrectomy with D1 lymphadenectomy was performed. Metastasis was not recognized by pathological examination but was detected by preoperative radiological examinations of the LN. We report a rare recurrence case after several EMRs of intramucosal gastric cancers.

Original languageEnglish
Article number339
JournalWorld Journal of Surgical Oncology
Volume12
Issue number1
DOIs
Publication statusPublished - 2014 Nov 11

Keywords

  • Endoscopic mucosal resection (EMR)
  • Intramucosal gastric cancer
  • Lymph node metastasis
  • Piecemeal resection

ASJC Scopus subject areas

  • Surgery
  • Oncology

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