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A Case of Gastric Adenoma Transforming into Adenocarcinoma over 9 Years of Observation Keisuke Honda 1 , Takahisa Murao 2 , Manabu Ishii 2 , Hiroshi Matsumoto 2 , Yoshikazu Nakatsugawa 2 , Yoshiki Kimura 2 , Motonori Satoh 2 , Kenichi Tarumi 2 , Ken Haruma 2 , Takashi Akiyama 3 1Department of General Medicine, Kawasaki Medical School, Kurashiki, Japan 2Division of Gastroenterology, Department of Medicine, Kawasaki Medical School, Kurashiki, Japan 3Department of Pathology, Kawasaki Medical School, Kurashiki, Japan Keyword: 胃生検 , 腺腫 , Group 3 , 最終癌 , ESD , 内視鏡的粘膜下層剝離術 pp.234-239
Published Date 2012/2/25
DOI https://doi.org/10.11477/mf.1403113099
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 An eighty-year-old male had been followed up because of a IIa-like elevated lesion in the antrum of the stomach, since 2001. Initially, histological findings of the biopsy specimen revealed adenoma, Group 3. Follow-up examination showed almost similar findings to those of the previous examination. In 2009, 9 years after the initial diagnosis, no morphological change was observed endoscopically, but the histological diagnosis of biopsy specimens revealed adenocarcinoma, Group 5. Endoscopic submucosal dissection(ESD)was performed. The final pathological diagnosis was a well differentiated adenocarcinoma at mucosal-layer depth.


Copyright © 2012, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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