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Risk of multiple early gastric cancers in a patient with precursor lesions and endoscopic surveillance for 7 years: A case report.

Abstract

RATIONALE

Severe mucosal atrophy or intestinal metaplasia is a risk factor for synchronous and metachronous intestinal gastric cancer. Magnifying endoscopy with narrow-band imaging was useful for assessing differentiated early gastric cancer (EGC).

PATIENT CONCERNS

A 62-year-old Chinese female was diagnosed with 5 multiple EGCs or high-grade dysplasia (HGD) with endoscopic surveillance for 7 years.

DIAGNOSES

Synchronous and metachronous multiple EGCs.

INTERVENTIONS

Endoscopic submucosal dissection (ESD) with en bloc resection was performed for all 5 multiple lesions. The ESD specimens were pathologically diagnosed with adenocarcinoma confined to the mucosa or HGD.

OUTCOMES

After endoscopy resection, no residual, recurrent, or synchronous lesions were detected by endoscopic surveillance after ESD.

LESSONS

Long-term, meticulous endoscopic surveillance is needed to monitor risk factors associated with multiple EGCs in patients with severe mucosal atrophy or intestinal metaplasia despite successful Helicobacter pylori eradication.

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  • Authors+Show Affiliations

    ,

    Gastrointestinal Endoscopy Center, Fujian Provincial Hospital South Branch.

    ,

    Gastrointestinal Endoscopy Center, Fujian Provincial Hospital South Branch.

    ,

    Gastrointestinal Endoscopy Center, Fujian Provincial Hospital.

    ,

    Department of Pathology, Fujian Provincial Hospital South Branch, Fuzhou, China.

    ,

    Gastrointestinal Endoscopy Center, Fujian Provincial Hospital South Branch.

    ,

    Gastrointestinal Endoscopy Center, Fujian Provincial Hospital South Branch.

    Gastrointestinal Endoscopy Center, Fujian Provincial Hospital South Branch.

    Source

    Medicine 98:22 2019 May pg e15686

    MeSH

    Adenocarcinoma
    Endoscopic Mucosal Resection
    Female
    Gastric Mucosa
    Gastroscopy
    Humans
    Metaplasia
    Middle Aged
    Narrow Band Imaging
    Precancerous Conditions
    Risk Factors
    Stomach Neoplasms
    Time Factors
    Watchful Waiting

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    31145282

    Citation

    Pan, Hui, et al. "Risk of Multiple Early Gastric Cancers in a Patient With Precursor Lesions and Endoscopic Surveillance for 7 Years: a Case Report." Medicine, vol. 98, no. 22, 2019, pp. e15686.
    Pan H, Fang C, He L, et al. Risk of multiple early gastric cancers in a patient with precursor lesions and endoscopic surveillance for 7 years: A case report. Medicine (Baltimore). 2019;98(22):e15686.
    Pan, H., Fang, C., He, L., Li, H., Liu, L., Wang, C., & Chen, J. (2019). Risk of multiple early gastric cancers in a patient with precursor lesions and endoscopic surveillance for 7 years: A case report. Medicine, 98(22), pp. e15686. doi:10.1097/MD.0000000000015686.
    Pan H, et al. Risk of Multiple Early Gastric Cancers in a Patient With Precursor Lesions and Endoscopic Surveillance for 7 Years: a Case Report. Medicine (Baltimore). 2019;98(22):e15686. PubMed PMID: 31145282.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Risk of multiple early gastric cancers in a patient with precursor lesions and endoscopic surveillance for 7 years: A case report. AU - Pan,Hui, AU - Fang,Chaoying, AU - He,Liping, AU - Li,Houqiang, AU - Liu,Lanzai, AU - Wang,Chao, AU - Chen,Jiansu, PY - 2019/5/31/entrez PY - 2019/5/31/pubmed PY - 2019/6/7/medline SP - e15686 EP - e15686 JF - Medicine JO - Medicine (Baltimore) VL - 98 IS - 22 N2 - RATIONALE: Severe mucosal atrophy or intestinal metaplasia is a risk factor for synchronous and metachronous intestinal gastric cancer. Magnifying endoscopy with narrow-band imaging was useful for assessing differentiated early gastric cancer (EGC). PATIENT CONCERNS: A 62-year-old Chinese female was diagnosed with 5 multiple EGCs or high-grade dysplasia (HGD) with endoscopic surveillance for 7 years. DIAGNOSES: Synchronous and metachronous multiple EGCs. INTERVENTIONS: Endoscopic submucosal dissection (ESD) with en bloc resection was performed for all 5 multiple lesions. The ESD specimens were pathologically diagnosed with adenocarcinoma confined to the mucosa or HGD. OUTCOMES: After endoscopy resection, no residual, recurrent, or synchronous lesions were detected by endoscopic surveillance after ESD. LESSONS: Long-term, meticulous endoscopic surveillance is needed to monitor risk factors associated with multiple EGCs in patients with severe mucosal atrophy or intestinal metaplasia despite successful Helicobacter pylori eradication. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/31145282/Risk_of_multiple_early_gastric_cancers_in_a_patient_with_precursor_lesions_and_endoscopic_surveillance_for_7_years:_A_case_report L2 - http://Insights.ovid.com/pubmed?pmid=31145282 DB - PRIME DP - Unbound Medicine ER -