A CASE OF EARLY GASTRIC CANCER WITH GASTRIC XANTHOMA DIAGNOSED WITH MAGNIFYING NARROW BAND IMAGING

Abstract

A 67-year-old male was referred to our hospital for further evolution of a gastric cancer. Gastrointestinal endoscopy revealed a small depressed lesion at the gastric antrum measuring around 15 mm. This lesion was diagnosed based on the presence of a demarcation line and an irregular microvascular pattern which could be seen using narrow band imaging with magnifying endoscopy but which was difficult to diagnose with white light imaging. Endoscopic mucosal dissection was performed. Histopathological examination of the resected specimen confirmed a diagnosis of early gastric cancer with gastric xanthoma.