Well-differentiated Adenocarcinoma Arising from Gastric Cystica Profunda Treated by Endoscopic Submucosal Dissection: A case report and literature review.

IF 1.4 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY
Zeitschrift fur Gastroenterologie Pub Date : 2025-05-01 Epub Date: 2025-02-18 DOI:10.1055/a-1920-4161
Cao Huang, Jiang Liu
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引用次数: 0

Abstract

Gastritis cystica profunda (GCP) is a rare disease that is often observed at the stoma site of patients undergoing gastric surgery. Specific symptoms are often lacking, making it difficult to diagnose. GCP may develop into cancer. Endoscopic resection is a good method to reduce surgical injury, and the therapeutic effect depends on the status of the primary disease.The patient was a 77-year-old male who was admitted to the hospital for repeated epigastric distention. The man had never undergone gastric surgery and did not have Helicobacter pylori infection. Physical and laboratory tests showed no abnormality. Computed tomography showed no significant abnormality. Endoscopy revealed multiple ulcers on the posterior wall of the gastric body, but biopsy showed no evidence of malignancy. The patient subsequently underwent ESD surgery with a lesion of 1.5 cm×2.3 cm. Pathological results showed the cystic dilatation of gastric glands in the submucosa, with some well-differentiated adenocarcinoma. The final diagnosis was GCP with well-differentiated gastric adenocarcinoma.Herein, we describe a case of ESD therapy for GCP with well-differentiated gastric adenocarcinoma. When gastric mucosal lesions are difficult to diagnose, further treatment and diagnosis with EMR or ESD can be considered. For patients with early gastric cancer, long-term postoperative monitoring should be carried out.

内镜下粘膜剥离术治疗胃深囊高分化腺癌1例并文献复习。
深囊性胃炎(GCP)是一种罕见的疾病,常见于胃手术患者的造口部位。通常缺乏具体的症状,使其难以诊断。GCP可能发展成癌症。内镜切除是一种减少手术损伤的好方法,治疗效果取决于原发疾病的状态。患者为77岁男性,因反复腹胀入院。该患者从未接受过胃手术,也没有幽门螺杆菌感染。物理和实验室检查均未发现异常。计算机断层扫描未见明显异常。胃镜检查显示胃体后壁有多处溃疡,但活检未见恶性肿瘤。患者随后接受ESD手术,病变面积为1.5 cm×2.3 cm。病理结果显示胃粘膜下层腺体囊性扩张,伴部分高分化腺癌。最终诊断为GCP伴高分化胃腺癌。在此,我们报告一例采用ESD治疗GCP合并高分化胃腺癌的病例。当胃粘膜病变难以诊断时,可考虑进一步治疗并进行EMR或ESD诊断。对于早期胃癌患者,应进行术后长期监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Zeitschrift fur Gastroenterologie
Zeitschrift fur Gastroenterologie 医学-胃肠肝病学
CiteScore
1.40
自引率
15.40%
发文量
562
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift für Gastroenterologie ist seit über 50 Jahren die führende deutsche Fachzeitschrift auf dem Gebiet der Gastroenterologie. Sie richtet sich an Gastroenterologen und alle anderen gastroenterologisch interessierten Ärzte. Als offizielles Organ der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten sowie der Österreichischen Gesellschaft für Gastroenterologie und Hepatologie informiert sie zuverlässig und aktuell über die wichtigen Neuerungen und Entwicklungen in der Gastroenterologie.
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