Korean J Gastrointest Endosc.  2007 Dec;35(6):429-434.

A Case of Differentiated Mucosal Gastric Cancer with Lymph Node Metastasis Presented as an Intra-abdominal Mass

Affiliations
  • 1Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea. harley1333@hanmail.net
  • 2Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

Abstract

In early gastric cancer, the most important prognostic factor is the presence or absence of a lymph node metastasis that is associated with the tumor size, histopathological differentiation, depth of tumor invasion and lympho-vascular invasion. A small sized differentiated mucosal cancer without a lympho-vascular invasion or histological ulceration rarely metastasizes to the lymph node. Herein, we report a case of a lymph node metastasis that is presented as an intra-abdominal mass in a 2.5 cm-sized differentiated mucosal cancer without ulceration or lympho-vascular invasion.

Keyword

Early gastric cancer; Mucosal cancer; Lymph node metastasis

MeSH Terms

Fibrinogen
Lymph Nodes*
Neoplasm Metastasis*
Stomach Neoplasms*
Ulcer
Fibrinogen
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