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- Title
A case of local recurrence and distant metastasis following curative endoscopic submucosal dissection of early gastric cancer.
- Authors
Abe, Seiichiro; Oda, Ichiro; Nakajima, Takeshi; Suzuki, Haruhisa; Nonaka, Satoru; Yoshinaga, Shigetaka; Sekine, Shigeki; Taniguchi, Hirokazu; Kushima, Ryoji; Iwasa, Satoru; Saito, Yutaka; Katai, Hitoshi
- Abstract
Currently in Japan, differentiated-type gastric submucosal invasive cancers <500 μm with negative lymphovascular involvement are included in expanded pathological criteria for curative endoscopic treatment. This categorization is based on a retrospective examination of surgical resection cases in which patients suitable for such expanded criteria were determined to have a negligible risk of lymph node metastasis. We performed endoscopic submucosal dissection on a 66-year-old man with early gastric cancer in June 2004, and pathology revealed a well-differentiated adenocarcinoma, 16 × 8 mm in size, minute submucosal invasion depth (100 μm), and negative lymphovascular invasion or ulceration as well as tumor-free margins, so the case was diagnosed as a curative resection. In this case, however, local recurrence and distant metastasis resulted in August 2011. The patient received systemic chemotherapy but died of gastric cancer 23 months after recurrence.
- Subjects
JAPAN; CANCER relapse; STOMACH cancer treatment; METASTASIS; ONCOLOGIC surgery; ADENOCARCINOMA; CANCER treatment
- Publication
Gastric Cancer, 2015, Vol 18, Issue 1, p188
- ISSN
1436-3291
- Publication type
Article
- DOI
10.1007/s10120-014-0341-7