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World Journal of Surgical Oncology
Published in: World Journal of Surgical Oncology 1/2014

Open Access 01-12-2014 | Case report

A case of late lymph node metastasis after three endoscopic mucosal resections of intramucosal gastric cancers

Authors: Eisuke Booka, Tsunehiro Takahashi, Kazunori Tokizawa, Yusuke Uchi, Akihiko Okamura, Kazumasa Fukuda, Rieko Nakamura, Norihito Wada, Hirofumi Kawakubo, Yoshiro Saikawa, Tai Omori, Hiroya Takeuchi, Aya Sasaki, Shuji Mikami, Koichiro Kumai, Kaori Kameyama, Yuko Kitagawa

Published in: World Journal of Surgical Oncology | Issue 1/2014

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Abstract

We describe a patient with solitary lymph node (LN) metastasis after three endoscopic mucosal resections (EMRs) in which a gastrointestinal stromal tumor was difficult to differentiate from the carcinoid and lymphoma tumors. A 77-year-old man underwent three EMRs at 62, 72, and 75 years of age, and all resections were determined to be curative. However, 2 years after the last EMR, screening abdominal ultrasonography detected a 20-mm solitary tumor at the lesser curvature of the upper stomach. Laparoscopic tumor resection confirmed the pathological diagnosis. Intraoperative pathological diagnosis showed that the adenocarcinoma was compatible with recurrence of gastric cancer; thus, total gastrectomy with D1 lymphadenectomy was performed. Metastasis was not recognized by pathological examination but was detected by preoperative radiological examinations of the LN. We report a rare recurrence case after several EMRs of intramucosal gastric cancers.
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Metadata
Title
A case of late lymph node metastasis after three endoscopic mucosal resections of intramucosal gastric cancers
Authors
Eisuke Booka
Tsunehiro Takahashi
Kazunori Tokizawa
Yusuke Uchi
Akihiko Okamura
Kazumasa Fukuda
Rieko Nakamura
Norihito Wada
Hirofumi Kawakubo
Yoshiro Saikawa
Tai Omori
Hiroya Takeuchi
Aya Sasaki
Shuji Mikami
Koichiro Kumai
Kaori Kameyama
Yuko Kitagawa
Publication date
01-12-2014
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2014
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-12-339

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