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Liver Metastasis of Early Gastric Cancer with Mixed Histology after Endoscopic Submucosal Dissection
The Japanese Classification of Gastric Carcinoma histologically classifies endoscopically resected gastric cancer into differentiated and undifferentiated types according to the presence or absence of tubular structures on histology. The former includes papillary adenocarcinoma and tubular types, an...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Gastrointestinal Endoscopy
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461670/ https://www.ncbi.nlm.nih.gov/pubmed/26064826 http://dx.doi.org/10.5946/ce.2015.48.3.247 |
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author | Han, Yang Hee Park, Jong Kyu Kwon, Jun Sung Kim, Young Don Jeong, Woo Jin Lee, Sang Jin Han, Koon Hee Cheon, Gab Jin |
author_facet | Han, Yang Hee Park, Jong Kyu Kwon, Jun Sung Kim, Young Don Jeong, Woo Jin Lee, Sang Jin Han, Koon Hee Cheon, Gab Jin |
author_sort | Han, Yang Hee |
collection | PubMed |
description | The Japanese Classification of Gastric Carcinoma histologically classifies endoscopically resected gastric cancer into differentiated and undifferentiated types according to the presence or absence of tubular structures on histology. The former includes papillary adenocarcinoma and tubular types, and the latter includes poorly differentiated adenocarcinoma, signet ring cell carcinoma and mucinous adenocarcinoma. However, gastric cancer sometimes contains a mixture of differentiated and undifferentiated components, and the clinical outcomes of the histological mixture are unknown, especially following endoscopic resection of early gastric cancer (EGC). This case was within the guideline indications for endoscopic submucosal resection (ESD), although it contained a partly signet ring cell carcinoma component; it recurred after 19 months with multiple lymph node and liver metastases. This case shows that additional surgical resection after ESD should be performed for patients with any mixed signet ring cell component, even in mild or moderately differentiated EGC. |
format | Online Article Text |
id | pubmed-4461670 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
spelling | pubmed-44616702015-06-10 Liver Metastasis of Early Gastric Cancer with Mixed Histology after Endoscopic Submucosal Dissection Han, Yang Hee Park, Jong Kyu Kwon, Jun Sung Kim, Young Don Jeong, Woo Jin Lee, Sang Jin Han, Koon Hee Cheon, Gab Jin Clin Endosc Case Report The Japanese Classification of Gastric Carcinoma histologically classifies endoscopically resected gastric cancer into differentiated and undifferentiated types according to the presence or absence of tubular structures on histology. The former includes papillary adenocarcinoma and tubular types, and the latter includes poorly differentiated adenocarcinoma, signet ring cell carcinoma and mucinous adenocarcinoma. However, gastric cancer sometimes contains a mixture of differentiated and undifferentiated components, and the clinical outcomes of the histological mixture are unknown, especially following endoscopic resection of early gastric cancer (EGC). This case was within the guideline indications for endoscopic submucosal resection (ESD), although it contained a partly signet ring cell carcinoma component; it recurred after 19 months with multiple lymph node and liver metastases. This case shows that additional surgical resection after ESD should be performed for patients with any mixed signet ring cell component, even in mild or moderately differentiated EGC. The Korean Society of Gastrointestinal Endoscopy 2015-05 2015-05-29 /pmc/articles/PMC4461670/ /pubmed/26064826 http://dx.doi.org/10.5946/ce.2015.48.3.247 Text en Copyright © 2015 Korean Society of Gastrointestinal Endoscopy http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Han, Yang Hee Park, Jong Kyu Kwon, Jun Sung Kim, Young Don Jeong, Woo Jin Lee, Sang Jin Han, Koon Hee Cheon, Gab Jin Liver Metastasis of Early Gastric Cancer with Mixed Histology after Endoscopic Submucosal Dissection |
title | Liver Metastasis of Early Gastric Cancer with Mixed Histology after Endoscopic Submucosal Dissection |
title_full | Liver Metastasis of Early Gastric Cancer with Mixed Histology after Endoscopic Submucosal Dissection |
title_fullStr | Liver Metastasis of Early Gastric Cancer with Mixed Histology after Endoscopic Submucosal Dissection |
title_full_unstemmed | Liver Metastasis of Early Gastric Cancer with Mixed Histology after Endoscopic Submucosal Dissection |
title_short | Liver Metastasis of Early Gastric Cancer with Mixed Histology after Endoscopic Submucosal Dissection |
title_sort | liver metastasis of early gastric cancer with mixed histology after endoscopic submucosal dissection |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461670/ https://www.ncbi.nlm.nih.gov/pubmed/26064826 http://dx.doi.org/10.5946/ce.2015.48.3.247 |
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