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An insufficient preoperative diagnosis of Borrmann type 4 gastric cancer in spite of EMR

Title
An insufficient preoperative diagnosis of Borrmann type 4 gastric cancer in spite of EMR
Author
하태경
Keywords
Stomach neoplasms; Borrmann type IV; Endoscopic mucosal resection
Issue Date
2011-05
Publisher
The Korean Gastric Cancer Association
Citation
Journal of Gastric Cancer, 2011, 1(1), P.59-63
Abstract
Borrmann type 4 gastric cancers are notorious for the difficulty of finding cancer cells in the biopsy samples obtained from gastrofiberscopy. It is important to obtain the biopsy results for making surgical decisions. In cases with Borrmann type 4 gastric cancer, even though the radiological findings (such as an upper gastrointestinal series, abdominal computed tomography and positron emission tomography/computed tomography) or the macroscopic findings of a gastrofiberscopy examination imply a high suspicion of cancer, there can be difficulty in getting the definite pathologic results despite multiple biopsies. In these cases, we have performed endoscopic mucosal resection under gastrofiberscopy as an alternative to simple biopsies. Here we report on a case in which no cancer cells were found even in the endoscopic mucosal resection specimen, but the radiologic evidence and clinical findings were highly suspicious for gastric cancer. The patient finally underwent total gastrectomy with lymph node resection, and she was pathologically diagnosed as having stage IV gastric cancer postoperatively.
URI
https://synapse.koreamed.org/DOIx.php?id=10.5230/jgc.2011.11.1.59
ISSN
1598-1320; 2093-582x
DOI
10.5230/jgc.2011.11.1.59
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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