A case of superficial spreading type of poorly differentiated adenocarcinoma of the stomach with invasion to the esophagus

0Citations
Citations of this article
6Readers
Mendeley users who have this article in their library.

This article is free to access.

Abstract

Background: Invasion is more likely to occur in gastric cancer affecting larger areas. Poorly differentiated adenocarcinoma tends to invade deep. The cardiac region prefers submucosal invasion because the submucosa is coarser than the other regions. Case presentation: A 75-year-old man presented with a chief complaint of abdominal discomfort and weight loss. Esophagogastroduodenoscopy revealed an irregular ulcerative lesion with partial redness of the upper body and lesser curve of the stomach. A continuous shallow depressed lesion invaded the abdominal esophagus by approximately 40 mm. Poorly differentiated adenocarcinomas (por, sig) were observed on biopsy. Grossly, the cancer appeared to extend into the muscle layer; however, we could not confirm invasion into the muscle layer in our biopsy tissue. We diagnosed the lesion as a superficial spreading type of advanced gastric cancer and performed a total gastrectomy, D2-lymph node dissection (spleen preservation), Roux-en-Y reconstruction, and cholecystectomy. Postoperative histopathological examination revealed extensive infiltration of poorly differentiated adenocarcinoma (90 mm × 55 mm), and all were intramucosal lesions. The final pathological diagnosis was T1a, N0, M0, and Stage IA. The postoperative course was uneventful and the patient was discharged on postoperative day (POD) 11. Five years have passed since the operation, and the patient is alive without recurrence. Conclusion: We encountered a case of gastric carcinoma in which poorly differentiated adenocarcinomas expanded extensively. All lesions were intramucosal.

References Powered by Scopus

Tumor size as a simple prognostic indicator for gastric carcinoma

99Citations
N/AReaders
Get full text

Tumor diameter as a prognostic factor in patients with gastric cancer

49Citations
N/AReaders
Get full text

Clinicopathological properties of the superficial spreading type early gastric cancer

16Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Mase, J., Adachi, T., Kiriyama, S., Horaguchi, T., Yawata, K., Ikawa, A., … Shiroko, T. (2022). A case of superficial spreading type of poorly differentiated adenocarcinoma of the stomach with invasion to the esophagus. World Journal of Surgical Oncology, 20(1). https://doi.org/10.1186/s12957-022-02605-2

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 1

50%

Researcher 1

50%

Readers' Discipline

Tooltip

Medicine and Dentistry 1

50%

Social Sciences 1

50%

Save time finding and organizing research with Mendeley

Sign up for free