A case of local recurrence and distant metastasis following curative endoscopic submucosal dissection of early gastric cancer

被引:24
|
作者
Abe, Seiichiro [1 ]
Oda, Ichiro [1 ]
Nakajima, Takeshi [1 ]
Suzuki, Haruhisa [1 ]
Nonaka, Satoru [1 ]
Yoshinaga, Shigetaka [1 ]
Sekine, Shigeki [2 ]
Taniguchi, Hirokazu [2 ]
Kushima, Ryoji [2 ]
Iwasa, Satoru [3 ]
Saito, Yutaka [1 ]
Katai, Hitoshi [4 ]
机构
[1] Natl Canc Ctr, Endoscopy Div, Chuo Ku, Tokyo 1040045, Japan
[2] Natl Canc Ctr, Div Pathol, Tokyo, Japan
[3] Natl Canc Ctr, Gastrointestinal Oncol Div, Tokyo, Japan
[4] Natl Canc Ctr, Gastr Surg Div, Tokyo, Japan
关键词
Early gastric cancer; Endoscopic submucosal dissection; Expanded criteria; Local recurrence; Distant metastasis; LYMPH-NODE METASTASIS; RESECTION; OUTCOMES; TRIAL;
D O I
10.1007/s10120-014-0341-7
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Currently in Japan, differentiated-type gastric submucosal invasive cancers < 500 mu m with negative lymphovascular involvement are included in expanded pathological criteria for curative endoscopic treatment. This categorization is based on a retrospective examination of surgical resection cases in which patients suitable for such expanded criteria were determined to have a negligible risk of lymph node metastasis. We performed endoscopic submucosal dissection on a 66-year-old man with early gastric cancer in June 2004, and pathology revealed a well-differentiated adenocarcinoma, 16 x 8 mm in size, minute submucosal invasion depth (100 mu m), and negative lymphovascular invasion or ulceration as well as tumor-free margins, so the case was diagnosed as a curative resection. In this case, however, local recurrence and distant metastasis resulted in August 2011. The patient received systemic chemotherapy but died of gastric cancer 23 months after recurrence.
引用
收藏
页码:188 / 192
页数:5
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