Gastric Cancer Mimicking a Submucosal Tumor Diagnosed by Laparoscopic Excision Biopsy

2005 ◽  
Vol 15 (1) ◽  
pp. 51-56 ◽  
Author(s):  
Tsunehiro Takahashi ◽  
Yoshihide Otani ◽  
Masashi Yoshida ◽  
Toshiharu Furukawa ◽  
Kaori Kameyama ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Submucosal Tumor ◽  
Excision Biopsy ◽  
Laparoscopic Excision

scholarly journals Clinicopathological and Endoscopic Features of Raspberry-Shaped Gastric Cancer in Helicobacter pylori-Uninfected Patients

Digestion ◽  
2020 ◽  
pp. 1-8
Author(s):  
Noboru Yatagai ◽  
Hiroya Ueyama ◽  
Muneo Ikemura ◽  
Ryota Uchida ◽  
Hisanori Utsunomiya ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Gastric Adenocarcinoma ◽  
Submucosal Tumor ◽  
Clinicopathological Characteristics ◽  
Fundic Gland ◽  
Histopathological Classification ◽  
Histological Characteristics ◽  
Greater Curvature ◽  
H Pylori ◽  
Tumor Shape

<b><i>Background:</i></b> Gastric adenocarcinoma of foveolar type (GA-FV) is a raspberry-shaped gastric cancer (RSGC) and garners much attention as <i>H. pylori</i> (<i>Hp</i>)-uninfected gastric cancer. However, the classification and clinicopathological and endoscopic features of RSGCs in <i>Hp</i>-uninfected patients are poorly defined. We designed a new histopathological classification of RSGC and compared them via endoscopic and clinicopathological characteristics. <b><i>Summary:</i></b> From 996 patients with early gastric cancers resected by endoscopy in our hospital, we studied 24 RSGC lesions from 21 (2.4%) <i>Hp</i>-uninfected patients. RSGCs were classified into 3 histological types as follows: GA-FV (<i>n</i> = 19), gastric adenocarcinoma of fundic gland type (GA-FG, <i>n</i> = 2), and gastric adenocarcinoma of fundic gland mucosa type (GA-FGM, <i>n</i> = 3). Most of the lesions were found at the greater curvature of the upper or middle third of the stomach. GA-FV lesions were homogeneously reddish and frequently accompanied with a whitish area around the tumor and an irregular microvascular (MV) pattern; these features were confirmed histopathologically by the presence of homogeneous neoplastic foveolar epithelium with foveolar hyperplasia around the tumors. GA-FG lesions might be heterogeneously reddish with a submucosal tumor shape and regular MV pattern; these were confirmed by the presence of covered or mixed nonneoplastic epithelium on deeper regions of tumors. GA-FGM lesions might be homogeneously reddish and occasionally had a submucosal tumor shape and irregular MV pattern; these were confirmed by the presence of homogeneous neoplastic foveolar epithelium on deeper regions of the tumors. <b><i>Key Messages:</i></b> RSGCs in <i>Hp</i>-uninfected patients are classified into 3 histopathological types. For accurate diagnosis of RSGCs, it may be necessary to fully understand endoscopic features of these lesions based on these histological characteristics and to take a precise biopsy.

scholarly journals A Case of Advanced Gastric Cancer Resembling Submucosal Tumor of the Stomach

1997 ◽  
Vol 27 (6) ◽  
pp. 423-426 ◽  
Author(s):  
N. Ohara ◽  
O. Tominaga ◽  
M. Uchiyama ◽  
H. Nakano
Keyword(s):  
Gastric Cancer ◽  
Advanced Gastric Cancer ◽  
Submucosal Tumor

scholarly journals A Submucosal Tumor-type Hamartomatous Inverted Polyp with Concomitant Early Gastric Cancer in a Cystic Lesion

2014 ◽  
Vol 47 (8) ◽  
pp. 430-438 ◽  
Author(s):  
Hiroaki Kominami ◽  
Yasuhiro Fujino ◽  
Shingo Kaneji ◽  
Tarou Oshikiri ◽  
Kenichi Tanaka ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Cystic Lesion ◽  
Submucosal Tumor ◽  
Tumor Type ◽  
Hamartomatous Inverted Polyp

scholarly journals Gastric Bronchogenic Cyst Histologically Diagnosed After Laparoscopic Excision: Report of a Case

2013 ◽  
Vol 98 (4) ◽  
pp. 455-460 ◽  
Author(s):  
Tomohiro Kurokawa ◽  
Masayoshi Yamamoto ◽  
Takanori Ueda ◽  
Tsuyoshi Enomoto ◽  
Kazunari Inoue ◽  
...  
Keyword(s):  
Computed Tomography ◽  
High Intensity ◽  
Bronchogenic Cyst ◽  
Submucosal Tumor ◽  
Gastric Wall ◽  
Tumor Resection ◽  
Abdominal Magnetic Resonance Imaging ◽  
Histopathologic Diagnosis ◽  
Laparoscopic Excision ◽  
Bronchogenic Cysts

Abstract Abdominal computed tomography of a 71-year-old man revealed a 3-cm mass in gastric cardia. Although the mass was widely attached to the gastric wall, no clear contrast enhancement was observed. Abdominal magnetic resonance imaging revealed the mass to have homogenous high intensity on T2W1 images and isointensity on T1W1 images. On diffusion-weighted imaging, no high intensity was observed. However, the mass had a smooth surface and was widely attached to the gastric wall, consistent with computed tomography findings. A gastric submucosal tumor was suspected. Laparoscopic tumor resection was performed. Histopathologic diagnosis of the mass was a bronchogenic cyst derived from the respiratory primordium originating in the foregut of the primitive intestine. Such cysts are mostly found in the mediastinum or thoracic cavity; their occurrence on the gastric wall is extremely rare. Despite this, we think that bronchogenic cysts should be considered in the differential diagnosis of abdominal unilocular cystic diseases.

scholarly journals Laparoscopic and endoscopic cooperative surgery for gastric cancer mimicking a submucosal tumor

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Hiroki Ozawa ◽  
Hirofumi Kawakubo ◽  
Satoru Matsuda ◽  
Shuhei Mayanagi ◽  
Tomoyuki Irino ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Submucosal Tumor

scholarly journals A Case of Gastric Cancer with Intramural Metastasis Resembling a Submucosal Tumor

2021 ◽  
Vol 82 (4) ◽  
pp. 711-716
Author(s):  
Moe MATSUMOTO ◽  
Hitoshi SAITO ◽  
Ryo YORIKI ◽  
Yuichi NAGAKAWA ◽  
Kenji KATSUMATA ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Submucosal Tumor ◽  
Intramural Metastasis

Early Gastric Cancer Presenting as a Submucosal Tumor

2016 ◽  
Vol 14 (12) ◽  
pp. e145-e146 ◽  
Author(s):  
Ling Li ◽  
Jingjing Lian ◽  
Yujen Tseng ◽  
Shiyao Chen
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Submucosal Tumor

scholarly journals Recurrence after ESD curative resection for early gastric cancer

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ayako Kamiya ◽  
Hitoshi Katai ◽  
Kenichi Ishizu ◽  
Takeyuki Wada ◽  
Tsutomu Hayashi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Lymph Node Metastasis ◽  
Early Gastric Cancer ◽  
Curative Resection ◽  
Treatment Guidelines ◽  
Submucosal Tumor ◽  
Pathological Examination ◽  
Node Metastasis

Abstract Background Endoscopic submucosal dissection (ESD) is gaining ground as a minimally invasive treatment for early gastric cancer (EGC) that has a negligible risk of lymph node metastasis. According to the 5th edition of Japanese gastric cancer treatment guidelines, annual or biannual follow-up with endoscopy is recommended, but follow-up with abdominal ultrasonography or computed tomography (CT) for surveillance of metastases is not recommended after the eCuraA resection. However, we experienced a case of lymph node recurrence following ESD resulting in eCuraA. Case presentation A 76-year-old female received ESD for EGC in a previous hospital 4 years ago. Pathological findings were tub1, 30 mm, T1a (M), UL0, Ly0, V0, pHM-, pVM- (eCuraA) according to the 15th edition of Japanese Classification of Gastric Carcinoma. Follow-up esophagogastroduodenoscopy revealed submucosal tumor, which was suspected as a swollen lymph node by CT and endoscopic ultrasound fine-needle aspiration revealed the recurrence of gastric cancer. We performed total gastrectomy with D2 lymph node dissection. Postoperative pathological examination revealed no local recurrent tumor at the ESD site in the stomach. Swollen lymph node was diagnosed as metastasis and lymph node metastasis was limited near the cardia. Conclusion This case provides valuable information about tumor with a minimum poorly differentiated adenocarcinoma component may develop lymph node metastasis even satisfying the guidelines criteria for curative resection.

scholarly journals Cutaneous metastasis in gastric cancer

2016 ◽  
Vol 10 (4) ◽  
Author(s):  
Muhammad Shoaib ◽  
Rizwan Aziz ◽  
Amir Ali Syed
Keyword(s):  
Gastric Cancer ◽  
Palliative Chemotherapy ◽  
Preoperative Evaluation ◽  
Metastatic Lesion ◽  
Anterior Chest Wall ◽  
Cutaneous Metastasis ◽  
Excision Biopsy ◽  
Cancer Stage ◽  
Skin Nodule ◽  
Cutaneous Nodule

Introduction: A case of gastric cancer developed cutaneous nodule found to be metastatic from stomach on histopathology. Clinical picture: A 50 yrs old patient presented with complaints of melena and diagnosed as gastric cancer stage T,N,M0. During in preoperative evaluation found to have skin nodule over anterior chest wall. On excision biopsy of the lesion, it turned out as metastatic lesion from adenocarcinoma of stomach. Patient was referred for palliative chemotherapy. Outcome: The patient had rapid downhill course after that and died in four months period after the diagnosis was made.

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