Early gastric cancer with spreading to heterotopic gastric glands in the submucosa: a case report and review of the literature

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• 作者：Tomoko Hagiwara (1)
  Naomi Kakushima (1)
  Kenichiro Imai (1)
  Masaki Tanaka (1)
  Toshitatsu Takao (1)
  Kinichi Hotta (1)
  Yuichiro Yamaguchi (1)
  Kohei Takizawa (1)
  Hiroyuki Matsubayashi (1)
  Hiroyuki Ono (1)
  Takuma Oishi (2)
  Takashi Nakajima (2)
  
• 关键词：Early gastric cancer ; Heterotopic gastric glands ; Endoscopic resection
• 刊名：Clinical Journal of Gastroenterology
• 出版年：2014
• 出版时间：April 2014
• 年：2014
• 卷：7
• 期：2
• 页码：123-128
• 全文大小：1,016 KB
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• 作者单位：Tomoko Hagiwara (1)
  Naomi Kakushima (1)
  Kenichiro Imai (1)
  Masaki Tanaka (1)
  Toshitatsu Takao (1)
  Kinichi Hotta (1)
  Yuichiro Yamaguchi (1)
  Kohei Takizawa (1)
  Hiroyuki Matsubayashi (1)
  Hiroyuki Ono (1)
  Takuma Oishi (2)
  Takashi Nakajima (2)
  
  1. Division of Endoscopy, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi, Suntogun, Shizuoka, 411-8777, Japan
  2. Division of Pathology, Shizuoka Cancer Center, Shizuoka, Japan
  
• ISSN：1865-7265

文摘

We report two cases of early gastric cancer (EGC) with spreading to heterotopic gastric glands (HGG). The first case was a submucosal-tumor-like EGC and proximal gastrectomy was performed. The second case was a slightly elevated EGC and endoscopic submucosal dissection was performed. In both cases, pathological results showed adenocarcinoma spreading to the HGG in the submucosa. The depth of cancer was diagnosed as intramucosal carcinoma because cancer was limited to the epithelium of HGG without invasion to the submucosal stroma. There is no clear guideline concerning the management of early gastric cancers with spreading to heterotopic gastric glands.