A CASE OF EARLY GASTRIC CANCER WITH DIFFUSE ANTRAL VASCULAR ECTASIA RESECTED BY ENDSCOPIC SUBMUCOSAL DISSECTION

Abstract

The patient, a 72-year-old woman, was in the hospital for operation of a right ureter carcinoma. On endoscopic examination to ascertain the cause of anemia, an early gastric cancer (IIa+IIc) 30 mm in diameter surrounded by diffuse antral vascular ectasia (DAVE) located on the greater curvature of the antrum was evident. The gastric cancer was resected by endoscopic submucosal dissection (ESD). Histological examination of the removed gastric tissue revealed gastric mucosal cancer (tub1) accompanying diffuse submucosal heterotopic gastric glands. We concluded that this case is of interest because of the rarity of an early gastric cancer surrounded by DAVE that was treated by ESD.