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Esophageal and multiple gastric cancers treated by endoscopic mucosal resections
Author(s) -
Nakagawa Motohito,
Kawano Yukio,
Akasaka Yoshikiyo,
Takabayashi Tsukasa,
Kanai Toshio,
Miyazawa Naoto
Publication year - 2004
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2004.00314.x
Subject(s) - medicine , esophagogastroduodenoscopy , endoscopic mucosal resection , esophagus , stomach , endoscopy , cancer , esophageal cancer , gastroenterology , lymphovascular invasion , metastasis
A case of successful endoscopic therapy of superficial esophageal and multiple gastric cancers in an 87‐year‐old man is reported. A slightly elevated superficial cancer 10 mm in diameter in the proximal stomach (type 0‐IIa) was detected by esophagogastroduodenoscopy (EGD) and treated by endoscopic mucosal resection (EMR) in September 1999. Four months later, in January 2000, a slightly depressed superficial cancer 10 mm in diameter in the proximal esophagus (type 0‐IIc) was found in follow‐up EGD and treated by EMR. Further, in August 2000, a slightly elevated superficial cancer 10 mm in diameter in the distal stomach (type 0‐IIa) was found in follow‐up EGD and treated by EMR. Microscopic examination of these resected specimens showed that invasion was limited to the mucosal layer, and confirmed that no lymphatic or vascular permeation had occurred. No endoscopic or histological recurrence was detected for 33 months after the most recent EMR for gastric cancer. As multiple primary cancers in the upper gastrointestinal tract are not rare in Japan, periodic endoscopic follow up is important for early detection of recurrence of new primary cancers.