[Gastric cancer 793. EGC was suspected but the biopsy was adenoma]
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 793. EGC was suspected but the biopsy was adenoma]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
On the GC side of high body to fundus, there was a ill-defined hyperemic mucosal lesion with multiple converging folds was seen. EGC not adequate for ESD was suspected. Multiple biopsies were done and the biopsy result was atypical glands with high grade dysplasia. After referral , endoscopy with biopsies were done again, but the result was atypical glands with ulcer, suggestive of adenoma, low grade dysplasia. What would you do, (1) repeating endoscopy again or (2) ESD, or (3) surgical consultation?
I chose surgical consultation. Before surgery (partial gastrectomy with limited lymph node dissection), endoscopy with multiple markings along the tumor margin were done. Final surgical pathology was “tubular adenocarcinoma (W/D), 3.2x3.0cm, invades mucosa (muscularis mucosae), LN metastasis (-)”.
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2019-9-12)
