2018 Volume 60 Issue 1 Pages 21-26
An 88-year-old woman was treated with prednisolone (PSL) for bullous pemphigoid in the department of dermatology of our hospital. Her skin symptom was exacerbated when the PSL dosage was tapered, and she was referred to our department to examine whether she had a gastrointestinal tumor. Esophagogastroduodenoscopy (EGD) revealed a protruded lesion in the anterior wall of the lesser curvature of the antrum. Examination of biopsy specimens of the lesion showed adenoma, but endoscopic submucosal dissection (ESD) was performed because this lesion was strongly suspected as being early gastric cancer based on the endoscopic findings. ESD resulted in endoscopic curative resection of early gastric cancer as confirmed by pathological examination. The dose of PSL could be tapered smoothly after ESD. Therefore, ESD of early gastric cancer was thought to be an effective treatment in this case.
