Gastric cancer mimicking a submucosal tumor diagnosed by laparoscopic excision biopsy

Tsunehiro Takahashi, Yoshihide Otani, Masashi Yoshida, Toshiharu Furukawa, Kaori Kameyama, Yasutada Akiba, Yoshiro Saikawa, Tetsuro Kubota, Koichiro Kumai, Shigeru Kuramochi, Makio Mukai, Hiromasa Ishii, Masaki Kitajima

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Abstract

We report a case of advanced gastric cancer exhibiting the features of a submucosal tumor (SMT) of the gastric body. The patient was a 50-year-old male in whom a gastric SMT was detected during a mass screening examination. Upper gastrointestinal endoscopy revealed a protuberant tumor, 2 cm in diameter, covered with normal-appearing mucosa. Examination of an endoscopic biopsy specimen of the tumor revealed chronic gastritis with regenerative and erosive changes. An endoscopic ultrasound examination demonstrated a hypoechoic mass in the third layer of the gastric wall. The clinical diagnosis was gastric SMT, and the patient's course was monitored. Twenty-six months after the initial visit to our hospital, an endosonograph-guided biopsy revealed Group III (borderline lesion). Three months after the biopsy, the size of the SMT had increased slightly. Laparoscopic wedge resection of the tumor was performed to make a pathologic diagnosis and we were able to make a diagnosis of gastric lymphoepithelioma-like carcinoma intraoperatively. Gastrectomy with lymph node dissection was followed as curative surgery. Laparoscopic total excision biopsy is a useful technique in patients with a gastric SMT whose diagnosis has not been confirmed pathologically.

Original languageEnglish
Pages (from-to)51-56
Number of pages6
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume15
Issue number1
DOIs
Publication statusPublished - 2005 Feb

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ASJC Scopus subject areas

  • Surgery

Cite this

Takahashi, T., Otani, Y., Yoshida, M., Furukawa, T., Kameyama, K., Akiba, Y., Saikawa, Y., Kubota, T., Kumai, K., Kuramochi, S., Mukai, M., Ishii, H., & Kitajima, M. (2005). Gastric cancer mimicking a submucosal tumor diagnosed by laparoscopic excision biopsy. Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A, 15(1), 51-56. https://doi.org/10.1089/lap.2005.15.51