A CASE OF DIFFUSE-TYPE EARLY GASTRIC CANCER WITH NODULAR GASTRITIS
Autor: | Takashi Abe, Masahiko Tsujimoto, Nariyuki Ueshima, Tomoari Kamada, Sunao Kawano, Jun Tanabe, Haruya Meren, Naoki Kawai, Shin Mizutani, Ken Haruma |
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Rok vydání: | 2006 |
Předmět: |
medicine.medical_specialty
Pathology biology medicine.diagnostic_test business.industry Gastroenterology Rapid urease test Cancer Helicobacter pylori medicine.disease biology.organism_classification Curvatures of the stomach digestive system diseases Early Gastric Cancer Internal medicine Biopsy medicine Adenocarcinoma Radiology Nuclear Medicine and imaging business Antrum |
Zdroj: | Digestive Endoscopy. 18:67-70 |
ISSN: | 1443-1661 0915-5635 |
DOI: | 10.1111/j.1443-1661.2006.00575.x |
Popis: | A 39-year-old woman was referred to Osaka Police Hospital and admitted for surgical treatment of gastric cancer. Barium upper gastrointestinal study and endoscopic examination showed a 3.0 × 3.0 cm depressed lesion in the greater curvature of the middle corpus. An unusual miliary pattern resembling ‘goose flesh’ was observed endoscopically in the antrum. Biopsy specimens from the tumor showed poorly differentiated adenocarcinoma, and specimens from the antrum showed many lymphoid follicles with a germinal center. Rapid urease test and histological tests (Giemsa stain) for Helicobacter pylori were both positive. Early gastric cancer with nodular gastritis (NG) was diagnosed and a partial gastrectomy was performed. Histological examination of the resected specimen showed a stage I tumor consisting mainly of signet-ring cell carcinoma restricted to the mucosa. Postoperatively H. pylori eradication therapy was performed and proved to be successful. One year after eradication therapy, endoscopy with biopsy showed no recurrence of gastric cancer and the remarkable regression of antral NG. |
Databáze: | OpenAIRE |
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