Document Detail

Endoscopic complete removal of the histologically unconfirmed gastric cancer with massive invasion as a giant biopsy.
MedLine Citation:
PMID:  15821623     Owner:  NLM     Status:  MEDLINE    
A 68-year-old man underwent upper GI endoscopy in a mass screening, which showed a suspicious tumor in the antral region of stomach. However, histologic examination of repeated endoscopic biopsy samples (15 samples) revealed no neoplastic change. Although all the examinations including endoscopy, endosonography, and barium study pointed to the diagnosis of gastric cancer, we did not have histologic evidence of malignancy. Hence, complete endoscopic removal of the lesion using a new method of endoscopic mucosal resection (EMR) was performed as a giant biopsy. Histologic assessment of the endoscopically resected specimen confirmed invasive adenocarcinoma of the stomach. He then underwent distal gastrectomy with regional lymphadenectomy. Endoscopic resection of the tumor in the digestive tract is also a very useful diagnostic modality of the lesion when malignancy cannot be revealed by endoscopic biopsy.
Tatsuya Yoshida; Kenichi Sakurazawa; Toshiaki Fukahara; Masataka Sasabe; Kazuya Iwabuchi; Tateki Ito; Kunio Sugihara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical laparoscopy, endoscopy & percutaneous techniques     Volume:  15     ISSN:  1530-4515     ISO Abbreviation:  Surg Laparosc Endosc Percutan Tech     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-11     Completed Date:  2005-08-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888751     Medline TA:  Surg Laparosc Endosc Percutan Tech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  95-9     Citation Subset:  IM    
Department of Surgery, Kudanzaka Hospital, Kudan-minami, Tokyo, Japan.
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MeSH Terms
Adenocarcinoma / diagnosis,  pathology,  surgery*
Biopsy / instrumentation,  methods*
Endoscopy, Gastrointestinal*
Gastric Mucosa / pathology,  surgery*
Stomach Neoplasms / diagnosis,  pathology,  surgery*

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