Endoscopic ultrasonography for determining the depth of cancer invasion in gastric cancer

2000 ◽  
Vol 35 (5) ◽  
pp. 402-403
Author(s):  
Yoko Murata
1996 ◽  
Vol 43 (4) ◽  
pp. 432
Author(s):  
J. Yoshikawa ◽  
J. Matsumoto ◽  
A. Saisho ◽  
T. Arima

2000 ◽  
Vol 51 (4) ◽  
pp. AB301
Author(s):  
Seisuke Okamura ◽  
Akemi Tsutsui ◽  
Naoki Muguruma ◽  
Soichi Itikawa ◽  
Koji Tsujigami ◽  
...  

1995 ◽  
Vol 7 (3) ◽  
pp. 220-225 ◽  
Author(s):  
Akimichi CHONAN ◽  
Naotaka FUJITA ◽  
Fukuji MOCHIZUKI ◽  
Toyohiko YUKI ◽  
Kazuhiko ISHIDA ◽  
...  

1991 ◽  
Vol 5 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Naoya Saito ◽  
Kimiya Takeshita ◽  
Hiroshi Habu ◽  
Mitsuo Endo

1989 ◽  
Vol 159 (3) ◽  
pp. 227-235 ◽  
Author(s):  
SHIGERU ASAKI ◽  
YUICHI NAKAYAMA ◽  
MASASHI OHARA ◽  
YORIHISA HIRASAWA ◽  
NORIAKI KANAZAWA ◽  
...  

2015 ◽  
Vol 100 (5) ◽  
pp. 949-953 ◽  
Author(s):  
Takeshi Matsubara ◽  
Noriyuki Hirahara ◽  
Ryoji Hyakudomi ◽  
Yusuke Fujii ◽  
Shunsuke Kaji ◽  
...  

Sarcoidosis is a multisystemic disorder that is characterized by the formation of noncaseating granulomas. Although sarcoidosis can affect any organ, gastrointestinal tract involvement in sarcoidosis is very rare, and gastric cancer associated with gastric sarcoidosis has hardly been reported. A 64-year-old female with a 10-year history of the medical treatment of gastric sarcoidosis received a routine follow-up gastrointestinal endoscopy and an irregular-shaped, elevated lesion was detected in the gastric corpus. The gastric mucosal surface was nodular and ulcerated throughout the stomach. The gastric lumen was narrow, and the gastric wall was stiff and nondistensible, resembling linitis plastica. The biopsies of the elevated lesion in the gastric corpus revealed well-differentiated adenocarcinoma. An endoscopic ultrasonography was then performed, but it failed to assess precisely the depth of cancer invasion because of sarcoidosis-related gastritis and fibrosis of the gastric wall. The patient underwent a laparoscopic total gastrectomy under the diagnosis of gastric cancer associated with gastric sarcoidosis. Histologic examination of the surgical specimen demonstrated well-differentiated adenocarcinoma in the gastric corpus, and the histologic mapping of cancer cells revealed that the tumor spread within the mucosal layer of the stomach. No lymph node metastasis was found. The patient's postoperative course was uneventful. We experienced a rare case of early gastric cancer associated with gastric sarcoidosis, which identified the troublesome issue that the assessment of depth of cancer invasion is difficult, because patients with longstanding gastric sarcoidosis may involve various degrees of fibrosis of the gastric wall.


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Koichiro Mandai ◽  
Kenjiro Yasuda

Background. Endoscopic resection (ER) for early gastric cancer (EGC) is a minimally invasive and curative treatment. The value of endoscopic ultrasonography (EUS) in determining the therapeutic strategy for EGC was assessed in this study.Materials and Methods. Pretreatment EUS was performed on 406 EGCs. The lesions were divided into the histological categories m/sm1 and sm2. The EUS-determined depths of invasion were classified as EUS-M/SM1, EUS-SM2, and EUS-MP or deeper. An analysis of the factors influencing the EUS-based depth determination was then conducted.Results. Most (92.8%) of the EUS-M/SM1 group belonged to the m/sm1 histological category. Ulcerated lesions, tumor size of larger than 2 cm, and the use of an ultrasound endoscope were independently associated with misdiagnosis of the depth of EGC by EUS. The ulcerated lesions had a significantly higher probability of overestimation.Conclusions. EUS is a useful method for determining the therapeutic strategy for EGC. Special attention should be paid not to overestimate the depth of cancer invasion when determining the ulcerated lesions and the type of curative procedure to be used.


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