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Korean J Helicobacter  Up Gastrointest Res > Volume 14(3); 2014 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2014;14(3):219-223.
DOI: https://doi.org/10.7704/kjhugr.2014.14.3.219    Published online September 10, 2014.
A Case of Metachronous Gastric Cancer and Follicular Lymphoma after Endoscopic Submucosal Dissection for Early Gastric Cancer
Ji Hyeon Lee, Ki Sun Jung, Hye Bin Gwag, Do Hee Kim, A Young Lim, Jun Haeng Lee
Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. stomachlee@gmail.com
내시경 점막하 박리술을 시행한 조기위암 환자에서 추적관찰 중 발생한 이시성 위암과 소포 림프종 1예
이지현, 정기선, 곽혜빈, 김도희, 임아영, 이준행
성균관대학교 의과대학 삼성의료원 내과
Abstract
Endoscopic submucosal dissection has become widely used as a minimally invasive treatment for early gastric cancer that has negligible lymph node metastasis. However, local recurrences after successful endoscopic resection including regional lymph node metastasis and metachronous, synchronous recurrence are of clinical importance, so careful follow-up is essential. We performed endoscopic submucosal dissection on a 57-year-old male with early gastric cancer in April 2006. Pathology revealed a well differentiated adenocarcinoma, 8x5 mm in size, which was confined to the muscularis mucosa, and had negative lymphovascular invasion as well as tumor free margins. So the case was diagnosed as a curative resection. The patient was followed up with regular esophagogastroduodenoscopy and abdominal CT. After 8 years, metachronous gastric cancer and peripancreatic lymph nodes enlargement was detected by endoscopy and enhanced computed tomography. Additional endoscopic submucosal dissection and excision of lymph node were carried out separately. Finally, the patient was diagnosed with metachronous early gastric cancer and follicular lymphoma.
Key Words: Stomach neoplasms; Local neoplasm recurrence; Neoplasms, second primary; Follicular lymphoma


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