An insufficient preoperative diagnosis of Borrmann type 4 gastric cancer in spite of EMR

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Borrmann type 4 gastric cancers are notorious for the difficulty of finding cancer cells in the biopsy samples obtained from gastrofiberscopy. It is important to obtain the biopsy results for making surgical decisions. In cases with Borrmann type 4 gastric cancer, even though the radiological findings (such as an upper gastrointestinal series, abdominal computed tomography and positron emission tomography/ computed tomography) or the macroscopic findings of a gastrofiberscopy examination imply a high suspicion of cancer, there can be difficulty in getting the definite pathologic results despite multiple biopsies. In these cases, we have performed endoscopic mucosal resection under gastrofiberscopy as an alternative to simple biopsies. Here we report on a case in which no cancer cells were found even in the endoscopic mucosal resection specimen, but the radiologic evidence and clinical findings were highly suspicious for gastric cancer. The patient finally underwent total gastrectomy with lymph node resection, and she was pathologically diagnosed as having stage IV gastric cancer postoperatively.

Original languageEnglish
Pages (from-to)59-63
Number of pages5
JournalJournal of Gastric Cancer
Volume11
Issue number1
DOIs
StatePublished - 2011 Dec 1

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Stomach Neoplasms
Biopsy
Neoplasms
Gastrectomy
Decision Making
Lymph Nodes
Tomography
Endoscopic Mucosal Resection

Keywords

  • Borrmann type IV
  • Endoscopic mucosal resection
  • Stomach neoplasms

Cite this

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abstract = "Borrmann type 4 gastric cancers are notorious for the difficulty of finding cancer cells in the biopsy samples obtained from gastrofiberscopy. It is important to obtain the biopsy results for making surgical decisions. In cases with Borrmann type 4 gastric cancer, even though the radiological findings (such as an upper gastrointestinal series, abdominal computed tomography and positron emission tomography/ computed tomography) or the macroscopic findings of a gastrofiberscopy examination imply a high suspicion of cancer, there can be difficulty in getting the definite pathologic results despite multiple biopsies. In these cases, we have performed endoscopic mucosal resection under gastrofiberscopy as an alternative to simple biopsies. Here we report on a case in which no cancer cells were found even in the endoscopic mucosal resection specimen, but the radiologic evidence and clinical findings were highly suspicious for gastric cancer. The patient finally underwent total gastrectomy with lymph node resection, and she was pathologically diagnosed as having stage IV gastric cancer postoperatively.",
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An insufficient preoperative diagnosis of Borrmann type 4 gastric cancer in spite of EMR. / Ahn, Jae Bong; Ha, Tae Kyung; Lee, Hang Rak; Kwon, Sung Joon.

In: Journal of Gastric Cancer, Vol. 11, No. 1, 01.12.2011, p. 59-63.

Research output: Contribution to journalArticle

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