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A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas.
- Source :
-
Clinical Endoscopy . Mar2018, Vol. 51 Issue 2, p192-195. 4p. - Publication Year :
- 2018
-
Abstract
- Heterotopic pancreas in the stomach is usually asymptomatic and benign. Here, we presented a rare case of an early gastric cancer overlying a heterotopic pancreas. A 48-year-old woman underwent esophagogastroduodenoscopy, which revealed a subepithelial mass measuring 2.0×1.5 cm on the gastric antrum with a 1-cm erosive erythematous discoloration on the surface. A biopsy specimen showed moderately differentiated tubular adenocarcinoma. Endosonography showed a heterogeneous hypoechoic mass measuring 1.3×0.6 cm, with indistinct margins in the second and third layers of the gastric wall; anechoic tubular structures within the mass were suggestive of heterotopic pancreas. Distal gastrectomy was performed, which confirmed an early gastric cancer confined to the mucosa, and a separate underlying heterotopic pancreas. Although heterotopic pancreas is most likely benign, careful endoscopic observation of the mucosal surface is necessary to avoid overlooking a coincident early gastric cancer. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 22342400
- Volume :
- 51
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Clinical Endoscopy
- Publication Type :
- Academic Journal
- Accession number :
- 129936585
- Full Text :
- https://doi.org/10.5946/ce.2017.055