Gastric ectopic pancreas combined with synchronous multiple early gastric cancer: A rare case report

被引:0
|
作者
Zhao, Zhen-Ya [1 ]
Lai, Yue-Xing [1 ]
Xu, Ping [1 ,2 ]
机构
[1] Shanghai Jiao Tong Univ, Dept Gastroenterol, Songjiang Hosp, Sch Med Preparatory Stage, Shanghai 201600, Peoples R China
[2] Shanghai Jiao Tong Univ, Dept Gastroenterol, Songjiang Hosp, Sch Med Preparatory Stage, 746 Zhongshanzhong Rd, Shanghai 201600, Peoples R China
关键词
Synchronous multiple early gastric cancer; Ectopic pancreas; Pathology; Case report; ADENOCARCINOMA;
D O I
10.12998/wjcc.v11.i7.1569
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUNDA large percentage of patients with ectopic pancreas are asymptomatic. When present, the symptoms are typically non-specific. These lesions are predominantly located in the stomach and benign in nature. Synchronous multiple early gastric cancer (SMEGC) (two or more simultaneous malignant lesions with early gastric cancer) is relatively rare and particularly easy to overlook during endoscopic examination. The prognosis of SMEGC is generally poor. We report a rare case of ectopic pancreas with concomitant SMEGC.CASE SUMMARYA 74-year-old woman presented with paroxysmal upper abdominal pain. On initial investigations, she tested positive for Helicobacter pylori (H. pylori). She underwent esophagogastroduodenoscopy which revealed a 1.5 cm x 2 cm major lesion at the greater curvature and a 1 cm minor lesion at the lesser curvature of the stomach. On endoscopic ultrasound, the major lesion showed hypoechoic changes, uneven internal echoes and unclear boundaries between some areas and the muscularis propria. Endoscopic submucosal dissection was performed to excise the minor lesion. A laparoscopic resection was chosen for the major lesion. On histopathological examination, the major lesion contained high grade intraepithelial neoplasia with a small focus of cancer. A separate underlying ectopic pancreas was found under this lesion. The minor lesion contained high grade intraepithelial neoplasia. In this case, the patient was diagnosed with SMEGC with concomitant ectopic pancreas in the stomach.CONCLUSIONPatients with atrophy, H. pylori, and other risk factors should be carefully investigated to avoid missing other lesions including SMEGC and ectopic pancreas.
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页码:1569 / 1575
页数:7
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