Extensive Bone Metastasis following Curative Endoscopic Submucosal Dissection for Early Gastric Cancer: A Case Report

Son, Dongjun; Kim, Hyeonjong; Ki, Myung Seo; Kim, Jin Woong; Lee, Kyung Hwa; Bae, Woo Kyun; Lee, Wansik

doi:2016.16.1.46

Korean J Helicobacter Up Gastrointest Res > Volume 16(1); 2016 > Article

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2016;16(1):46-51.
DOI: https://doi.org/10.7704/kjhugr.2016.16.1.46 Published online March 10, 2016.

Extensive Bone Metastasis following Curative Endoscopic Submucosal Dissection for Early Gastric Cancer: A Case Report

Dongjun Son, Hyeonjong Kim, Myung Seo Ki, Jin Woong Kim, Kyung Hwa Lee, Woo Kyun Bae, Wansik Lee

¹Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. iliad@jnu.ac.kr, drwookyun@jnu.ac.kr
²Department of Radiology, Chonnam National University Medical School, Gwangju, Korea.
³Department of Pathology, Chonnam National University Medical School, Gwangju, Korea.

조기 위암에 대한 내시경 점막하박리술 이후 발생한 다발성 골전이 1예

손동준, 김현종, 기명서, 김진웅¹, 이경화², 배우균^*, 이완식^*

전남대학교 의과대학 내과학교실, 영상의학교실¹, 병리학교실²

Abstract

The therapeutic indication for endoscopic submucosal dissection (ESD) can be expanded to treat small-sized (<2 cm) early gastric cancer (EGC) with undifferentiated histology. Here, we report the case of a 62-year-old woman in whom EGC was initially diagnosed by endoscopy and CT. She subsequently underwent ESD. Histological examination revealed a mixed type adenocarcinoma with poorly differentiated histology confined to the mucosa without ulcer and lymphovascular involvement. Subsequent regular examinations showed no recurrence for 7 years. She complained of fatigue and weight loss on the 7th year of follow-up. Radiologic examination showed multiple bone metastases and the bone biopsy specimen revealed adenocarcinoma resembling the previous EGC.

Key Words: Early gastric cancer; Endoscopic submucosal dissection; Bone metastasis