Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
低分化型胃癌ESDにて切除断端陰性であったが追加外科切除で癌遺残が認められた1例
竹ノ谷 隆有馬 美和子西村 ゆう黒住 昌史
著者情報
キーワード: ESD, 癌遺残
ジャーナル フリー

2015 年 87 巻 1 号 p. 128-129

詳細
抄録
A 59-years-old man was referred to our hospital for treatment of gastric cancer. Esophagogastroduodenoscopy revealed that the lesion was depressed, 10 mm in diameter, and was located at the anterior wall of the lower gastric body. Signet-ring cell carcinoma was diagnosed using endoscopic biopsy. The lesion was diagnosed as the expanded indication lesion of endoscopic submucosal dissection (ESD) , and ESD was performed. The cancer invaded the submucosa to a depth of 1800 µm and vertical margins were negative ; however, the cancer cells were in close proximity to the vertical margins. The lesion was diagnosed as a non-curative resection. Additional gastrectomy was performed. The gastrectomy specimen revealed that residual cancer cells had invaded the muscularis propria. Since it was possible that the invasive cancer persisted in the deeper tissues of the submucosa, additional gastrectomy was suggested.
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著者関連情報
© 2015 一般社団法人 日本消化器内視鏡学会 関東支部
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