Recurrence of Type Ⅱc Early Gastric Cancer 14Months after Endoscopic Polypectomy of Polypoid Cancer, Report of a Case Akimichi Chonan 1 , Fukuji Mochizuki 1 1Department of Gastroenterology, Sendai City Medical Center Keyword: 早期胃癌 , 胃内視鏡的粘膜切除術 , 早期胃癌再発 , 早期胃癌経過観察 pp.403-408
Published Date 1991/4/25
DOI https://doi.org/10.11477/mf.1403102510
  • Abstract
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 A 66-year-old male was admitted to our hospital and endoscopic polypectomy was done for type Ⅰearly gastric cancer on the lesser curvature of the stomach. Pathological diagnosis was"cancer in adenoma, moderately differentiated adenocarcinoma, no invasion to the cut margin".

 A year and two months later, type Ⅱcearly gastric cancer with surrounding elevation was detected next to the scar of prior polypectomy. We considered it recurrence because of the same pathological findings of the biopsy specimen and prior polypectomy specimen. Distal gastrectomy was performed. Macroscopically it was type Ⅱc early cancer surrounded by elevation. Pathologically it was moderately differentiated adenocarcinoma limited to the mucosal layer.

 Retrospectively, almost all of the polypectomy specimen were positive for cancer cells extending to the cut margin.This case suggests that detailed pathological examination of the cutmargin of resected specimen and frequent follow-up endoscopic examination with biopsy are very important. If extension of cancer is suspected, it is recommended to perform additional endoscopic coagulation therapy around the ulcer after the lesion is resected.

Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.


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