Endoscopic Resection of Early Gastric Cancer (Signet-ring Cell Carcinoma) in the Antrum, Report of a Case Masaya Tanaka 1 , Kiyoshi Ashida 1 , Saburo Ohshiba 1 , Kunio Okajima 2 , Akira Tsutsumi 3 1The Second Department of Internal Medicine, Osaka Medical College 2Depantment of Surgery, Osaka Medical College 3Department of Central Laboratory, Section of Surgical Pathology, Osaka Medical College Keyword: 内視鏡的切除 , 早期胃癌 , 印環細胞癌 , 根治 pp.409-414
Published Date 1991/4/25
DOI https://doi.org/10.11477/mf.1403102512
  • Abstract
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 A 65-year-old male visited his home doctor because of epigastric discomfort and was diagnosed endoscopically as having early gastric cancer (type Ⅱc) in the posterior wall of the antrum. Cancer in situ without an ulcer or an ulcer scar was also detected by upper GI series and endoscopy at our hospital.

 The lesion, 15 mm in the longest diameter, proved pathologically to be signet-ring cell carcinoma. Endoscopic resection (ER) was performed with his informed consent.

 However, the wedge of ER specimen was judged to be positive for cancer cell. Cancer cells unresected were endoscopically recognized on the posterior side of the artificial ulcer. Subtotal gastrectomy was carried out. Histologically, cancer cells did not infiltrate to the submucosa without metastasis to the lymphnodes. Therefore, it seemed possible that ER brings about curative therapy only if the lesion is completely removed by ER.

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


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