胃癌ESD後の局所再発の診断にEUS-FNAが有用であった一例

笠原 美沙; 吉田 康祐; 山本 晴二郎; 鈴木 麻耶; 関 彩千子; 荒金 直美; 石田 慎; 東條 誠也; 松永 崇宏; 玉川 空樹; 宮永 亮一; 渡邉 多代; 福原 誠一郎

doi:10.11641/pde.103.1_81

A case with local recurrence of gastric cancer after ESD diagnosed by EUS-FNA

Misa Kasahara, Kosuke Yoshida, Harujiro Yamamoto, Maya Suzuki, Sachiko Seki, Naomi Arakane, Makoto Ishida, Masaya Tojo, Takahiro Matsunaga, Hiroki Tamagawa, Ryoichi Miyanaga, Kazuyo Watanabe, Seiichiro Fukuhara

Author information

Misa Kasahara
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Kosuke Yoshida
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Harujiro Yamamoto
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Maya Suzuki
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Sachiko Seki
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Naomi Arakane
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Makoto Ishida
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Masaya Tojo
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Takahiro Matsunaga
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Hiroki Tamagawa
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Ryoichi Miyanaga
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Kazuyo Watanabe
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center
Seiichiro Fukuhara
Department of Gastroenterology and Hepatology, National Hospital Organization Tokyo Medical Center

JOURNAL RESTRICTED ACCESS

2023 Volume 103 Issue 1 Pages 81-82

DOI https://doi.org/10.11641/pde.103.1_81

Details

Abstract

A man in his 80s underwent ESD for a 30 mm-sized gastric cancer located in the greater curvature of the cardia region. Though it was diagnosed as tubular adenocarcinoma T1b, the surgical margin was positive. Additional surgical resection was proposed but not selected due to advanced age.

Five years after ESD, a 10 mm-sized submucosal tumor-like lesion was found near the post-ESD scar. Endoscopic ultrasound (EUS) revealed a hypoechoic mass contiguous with the fourth layer. Since the surface was smooth, EUS-guided fine needle aspiration (EUS-FNA) was performed for the diagnosis. The pathological finding was adenocarcinoma.

Even in tumors with little change on the mucosal surface, tissue sampling by EUS-FNA may be useful in determining the diagnosis of gastric cancer.

Corresponding author

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