A CASE OF TYPE 0-ⅡA+ⅡC GASTRIC CANCER RAPIDLY PROGRESSING TO TYPE 1 IN THREE MONTHS

DOI
  • SASAKI Kou
    Department of Gastroenterology and Hepatology, National Hospital Organization Hokkaido Medical Center.
  • NAGASHIMA Kazunori
    Department of Gastroenterology and Hepatology, National Hospital Organization Hokkaido Medical Center.
  • KIMURA Taiti
    Department of Pathology, National Hospital Organization Hokkaido Medical Center.
  • KATO Akane
    Department of Gastroenterology and Hepatology, National Hospital Organization Hokkaido Medical Center.
  • EGAMI Hiroki
    Department of Gastroenterology and Hepatology, National Hospital Organization Hokkaido Medical Center.
  • ITO Jun
    Department of Gastroenterology and Hepatology, National Hospital Organization Hokkaido Medical Center.
  • TAYA Yoko
    Department of Gastroenterology and Hepatology, National Hospital Organization Hokkaido Medical Center.
  • NAKATSUMI Hiroshi
    Department of Gastroenterology and Hepatology, National Hospital Organization Hokkaido Medical Center.
  • BABA Urara
    Department of Gastroenterology and Hepatology, National Hospital Organization Hokkaido Medical Center.
  • KATO Takashi
    Department of Gastroenterology and Hepatology, National Hospital Organization Hokkaido Medical Center.

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Other Title
  • 短期間で著明な形態的変化を内視鏡的に観察しえた胃癌の1例

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<p>A 70-year-old man with laryngeal and lung cancers presented for endoscopy. Esophagogastroduodenoscopy (EGD) revealed a 20-mm Type 0-Ⅱa+Ⅱc gastric cancer located in the lesser curvature of the upper stomach. Since the gastric cancer was early-stage and asymptomatic, we proceeded with surgical treatment for the laryngeal and lung cancers because they had good prognosis. Histopathological examination revealed primary laryngeal cancer with lung metastasis. Three months later, he was diagnosed with anemia, and EGD showed that the gastric cancer had progressed from a 20-mm Type 0-Ⅱa+Ⅱc tumor to a 50-mm Type 1 tumor. There was no progression of the laryngeal cancer. He required intermittent blood transfusions; subsequently, surgery was performed for the gastric cancer. Histopathological examination confirmed it as Type 1 gastric cancer (tub1 > tub2), pT1b2, pN0, Stage IA. No relapse of the laryngeal or gastric cancer was detected for 13 months. We report this case because it exemplifies the rare progression of a gastric cancer.</p>

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