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Published in: Gastric Cancer 2/2012

01-04-2012 | Case report

A case of lymph node metastasis following a curative endoscopic submucosal dissection of an early gastric cancer

Authors: Hisaharu Oya, Takuji Gotoda, Tetsu Kinjo, Haruhisa Suzuki, Shigetaka Yoshinaga, Hirokazu Taniguchi, Ryoji Kushima, Makoto Saka, Hitoshi Katai, Ichiro Oda

Published in: Gastric Cancer | Issue 2/2012

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Abstract

Currently in Japan, differentiated gastric submucosal invasive cancers <500 μm (SM1) with negative lymphovascular involvement are included in expanded pathological criteria for curative endoscopic treatment. This 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 65-year-old male with early gastric cancer in April 2005, and pathology revealed a well-differentiated adenocarcinoma, 21 × 10 mm in size, SM1 invasion depth and negative lymphovascular invasion as well as tumor-free margins, so the case was diagnosed as a curative resection. This case, however, resulted in lymph node metastasis that was diagnosed by endoscopic ultrasonography with fine-needle aspiration biopsy in May 2009. Distal gastrectomy with D2 lymph node dissection was then performed, confirming lymph node metastasis from the original gastric cancer.
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Metadata
Title
A case of lymph node metastasis following a curative endoscopic submucosal dissection of an early gastric cancer
Authors
Hisaharu Oya
Takuji Gotoda
Tetsu Kinjo
Haruhisa Suzuki
Shigetaka Yoshinaga
Hirokazu Taniguchi
Ryoji Kushima
Makoto Saka
Hitoshi Katai
Ichiro Oda
Publication date
01-04-2012
Publisher
Springer Japan
Published in
Gastric Cancer / Issue 2/2012
Print ISSN: 1436-3291
Electronic ISSN: 1436-3305
DOI
https://doi.org/10.1007/s10120-011-0111-8

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