Cryptic Early Gastric Carcinoma in Gastric Stump: Challenges in Diagnostic Evaluation

Autor: Subramanya Sakaleshpura Mallikarjunappa, Shriram Jakate
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Pathology, Vol 2019 (2019)
Druh dokumentu: article
ISSN: 2090-6781
2090-679X
DOI: 10.1155/2019/1794370
Popis: Partial gastrectomy, performed for any indication, is a well-recognized risk factor for carcinoma developing in the gastric remnant (so-called “gastric stump carcinoma”). In symptomatic patients with gastro-enteric anastomosis, it is a common practice to endoscopically evaluate the patency and the status of the anastomosis and procure biopsy samples when endoscopic abnormalities are noted. We describe a case with Billroth I gastroduodenal anastomosis with oozing and friability at the anastomosis site which was biopsied. The biopsies showed invasive intestinal-type adenocarcinoma. Subsequent completion gastrectomy showed no grossly visible tumor and required extensive initial and additional sampling of the anastomosis and the surrounding stomach to locate a small focus of invasive adenocarcinoma limited to the mucosa (“early gastric carcinoma”). This case illustrates a known complication of partial gastrectomy and highlights challenges in diagnostic evaluation of early gastric carcinoma after gastrectomy.
Databáze: Directory of Open Access Journals
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje