2019 Volume 80 Issue 5 Pages 893-897
A 79-year-old man was found to have a type 3 lesion in the upper gastric body on upper gastrointestinal endoscopy during follow-up of atrophic gastritis. The biopsy showed moderately differentiated adenocarcinoma. Computed tomography showed no lymph node or distant metastases. Total gastrectomy and lymph node dissection were performed. The histopathological diagnosis was large cell endocrine carcinoma >>tub2, pT4a(SE), ly0, v3, pN0, Stage IIB. Immunohistochemistry showed positive staining for chromogranin A and synaptophysin. The patient's postoperative course was uneventful, and he was discharged from hospital on the 14th postoperative day. He received no postoperative chemotherapy and was free of relapse 1 year and 6 months after surgery.
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
