Recurrence of Early Gastric Cancer in 5-Years Following Endoscopic Submucosal Dissection

Kim, Shin Seung; Kim, Jin Il; Cheung, Dae Young; Noh, Hyun Jin; Shin, Sae Bom; Jang, Yu Na; Kim, Dong Jin; Kim, Wook

doi:2016.16.3.160

Korean J Helicobacter Up Gastrointest Res > Volume 16(3); 2016 > Article

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2016;16(3):160-164.
DOI: https://doi.org/10.7704/kjhugr.2016.16.3.160 Published online September 10, 2016.

Recurrence of Early Gastric Cancer in 5-Years Following Endoscopic Submucosal Dissection

Shin Seung Kim, Jin Il Kim, Dae Young Cheung, Hyun Jin Noh, Sae Bom Shin, Yu Na Jang, Dong Jin Kim, Wook Kim

¹Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
²Department of Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. kimwook@catholic.ac.kr

내시경 점막하 절제술 5년 후 재발한 조기위암

김신승, 김진일, 정대영, 노현진, 신새봄, 장유나, 김동진¹, 김 욱¹

가톨릭대학교 의과대학 여의도성모병원 내과학교실, 외과학교실¹

Abstract

Treatment of choice for early gastric cancer has changed from curative surgery to endoscopic therapy. And the indications for endoscopic treatment of early gastric cancer are expanded. A 70-year-old man was referred for further management of early gastric cancer. In endoscopy, early gastric cancer was suspected at antrum, greater curvature side of gastric body. Endoscopic submucosal dissection was performed. Histology revealed a 6.9×2.7-cm-sized tubular adenocarcinoma, moderately differentiated type and resection margin was negative. Following endoscopy was performed annually. Histology has changed from chronic inflammation to chronic gastritis with intestinal metaplasia, tubular adenoma with low grade dysplasia, tubular adenoma with high grade dysplasia year by year. Laparoscopic subtotal gastrectomy with lymphadenectomy was performed. Histologic finding showed well differentiated tubular adenocarcinoma confined in mucosal layer without lymph node metastasis.

Key Words: Endoscopic submucosal dissection; Early gastric cancer; Recurrence