Lymph Node Metastasis after Gastric ESD Curative Resection(eCura A), Report of a Case Tetsuya Suwa 1 , Hiroyuki Ono 1 , Yohei Yabuuchi 1 , Yoichi Yamamoto 1 , Masao Yoshida 1 , Noboru Kawata 1 , Naomi Kakushima 2 , Masashi Mori 3 , Kohei Takizawa 1 1Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan 2Division of Gastroenterology, Nagoya University Hospital, Nagoya, Japan 3Division of Internal Medicine, Fujinomiya City General Hospital, Shizuoka, Japan Keyword: 早期胃癌 , eCura A , 再発 , リンパ節転移 pp.108-113
Published Date 2021/1/25
DOI https://doi.org/10.11477/mf.1403202233
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 A woman in her 70s who was detected with a flat elevated lesion with shallow depression in the anterior wall of the gastric antrum near the pyloric ring was diagnosed with EGC(early gastric cancer)and was referred to our department. Based on our examinations, the lesion was diagnosed as an expanded indication lesion of the ESD(absolute indication lesion of ESD in the latest guideline) ; we performed ESD in September 2011. The pathological result showed expanded indication curative resection(curative resection:eCuraA in the latest guideline)because of the size ; 37mm, histological type ; tub1, depth ; M, pathological UL0, negative vascular invasion, negative margin. After the ESD, follow-up was performed with regular endoscopy ; however, no residual recurrence or new lesion was observed. However, three years and five months after the ESD, abdominal ultrasonography and CT scan showed abdominal lymph nodes metastasis. No primary lesion was recognized ; therefore, we established a diagnosis of recurrent lymph node metastasis of EGC and performed ESD. Almost no recurrence is observed in the case of eCuraA, then we report the case with a review of the literature.

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