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 language | English |
|---|---|
| Pages (from-to) | 59-63 |
| Number of pages | 5 |
| Journal | Journal of Gastric Cancer |
| Volume | 11 |
| Issue number | 1 |
| DOIs | |
| State | Published - 2011 Dec 1 |
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Keywords
- Borrmann type IV
- Endoscopic mucosal resection
- Stomach neoplasms
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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 journal › Article
TY - JOUR
T1 - An insufficient preoperative diagnosis of Borrmann type 4 gastric cancer in spite of EMR
AU - Ahn, Jae Bong
AU - Ha, Tae Kyung
AU - Lee, Hang Rak
AU - Kwon, Sung Joon
PY - 2011/12/1
Y1 - 2011/12/1
N2 - 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.
AB - 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.
KW - Borrmann type IV
KW - Endoscopic mucosal resection
KW - Stomach neoplasms
UR - http://www.scopus.com/inward/record.url?scp=84867544918&partnerID=8YFLogxK
U2 - 10.5230/jgc.2011.11.1.59
DO - 10.5230/jgc.2011.11.1.59
M3 - Article
C2 - 22076203
AN - SCOPUS:84867544918
VL - 11
SP - 59
EP - 63
JO - Journal of Gastric Cancer
JF - Journal of Gastric Cancer
SN - 2093-582X
IS - 1
ER -