Follicular lymphoma of the stomach. Underwater EMR. EndoTODAY 이준행

[StomachTODAY 048. Follicular lymphoma of the stomach. Underwater EMR.]

2022년 3월 20일 제65회 KSGE 내시경세미나에서 부산대 김수진 교수님께서 gastric SMT를 underwater EMR로 절제하였고 최종 병리 결과 follicular lymphoma로 나온 증례를 소개해 주셨습니다. (Medicine 2021)

(A) A wide-based and sessile subepithelial tumor covered with normal gastric mucosa is found incidentally on the greater curvature of the stomach body during screening endoscopy. (B) Endoscopic ultrasonography reveals a heterogeneous hypoechoic lesion of 1.4 X 0.5cm in the submucosal layer.
(A) Water immersion makes the tumor to float from the proper muscle and capture the base of lesion easily by 25mm polypectomy snare. (B) There is no evidence of residual tumor around the resected port of the lesion.
(A) En-bloc and grossly R0 resection are achieved. (B) Histologic findings are nodular aggregates of small lymphoid cells in the submucosa with little mucosal involvement (H&E ×20).

[References]

1) EsoTODAY - 십이지장질환 증례토의
2) SmallTODAY - 소장질환 증례토의
3) ColonTODAY - 대장질환 증례토의
4) Dr. Sinn's LiverTODAY - 간질환 증례토의