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Endoscopic resection of early gastric cancer signet ring cell carcinoma in the antrum report of a case

Endoscopic resection of early gastric cancer signet ring cell carcinoma in the antrum report of a case

Stomach and Intestine 26(4): 409-414

ISSN/ISBN: 0536-2180

A 65-year-old male visited his home doctor because of epigastric discomfort and was diagnosed endoscopically as having early gastric cancer (type IIc) in the posterior wall of the antrum. Cancer in situ without an ulcer or an ulcer scar was also detected by upper GI series and endoscopy at our hospital. The lesion, 15 mm in the longest diameter, proved pathologically to be signet-ring cell carcinoma. Endoscopic resection (ER) was performed with his informed consent. However, the wedge of ER specimen was judged to be positive for cancer cell. Cancer cells unresected were endoscopically recognized on the posterior side of the artificial ulcer. Subtotal gastrectomy was carried out. Histologically, cancer cells did not infiltrate to the submucosa without metastasis to the lymphnodes. Therefore, it seemed possible that ER brings about curative therapy only if the lesion is completely removed by ER.

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Accession: 007300491

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