Helicobacter pylori未感染の胃粘膜に生じた0-IIa+IIc型分化型癌の1例

Narihiro Shibukawa, Shuji Wakamatsu, Shohei Ouchi, Yuhei Wakahara, N. Tatsumi, A. Kaneko
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引用次数: 1

Abstract

A woman in her 70s was an outpatient at our hospital. Esophagogastroduodenoscopy revealed a slightly elevated lesion with erosion, 10mm in diameter, located at the greater curvature of the antrum. Helicobacter pylori testing yielded negative results, and there was no atrophy of the gastric mucosa. Biopsy revealed a well-differentiated tubular adenocarcinoma. Complete en bloc resection was performed via endoscopic submucosal dissection, in accordance with the current Japanese guidelines. The gastric adenocarcinoma of the fundic gland type and coexisting with a hyperplastic or fundic gland polyp was negative according to the histological examination.
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Helicobacter pylori发生在未感染的胃粘膜上的0-IIa + IIc分化型癌症的一个例子
一位70多岁的老妇人是我们医院的门诊病人。食管胃十二指肠镜显示轻微升高的糜烂病灶,直径10mm,位于胃窦大弯曲处。幽门螺杆菌检测结果为阴性,胃粘膜未见萎缩。活检显示为分化良好的管状腺癌。根据日本现行指南,通过内镜下粘膜夹层进行完整的整体切除。胃腺癌为基底腺型,并伴有增生性或基底腺息肉,病理检查阴性。
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