Korean J Gastrointest Endosc.  1997 Apr;17(2):187-194.

Esophagus, Stomach & Intestine; Infiltrative Advanced Gastric Cancer Simulating Early Gastric Cancer: Case report

• Rhee JC
• Lee HY
• Rhee PL
• Kim JJ
• Paik SW
• Oh YL
• Koh KC

Abstract

Advanced gastric cancer simulating early gastric cancer is increasing tendcncy due to development of diagnostic technology. A 64-year-old woman was admitted for epigastric discomfort. Endoscopy showed a small white mucus coated erosion and peripheral mucosal nodurarity on greater curvature side of antrum. Biopsy was resulted in adenocarcinoma. An upper GI series and abdominal sonography were normal. At surgery, advanced gastric carcinoma, Borrmann localized type IV in background of early gastric carcinoma, prepyloric antrum along the greater curvature with infiltration to the muscle layer and multiple lymphatic tumor emboli in serosa and perigastric adipose tissue and neural invasion and metastasis to 12 out of 28 perigastric lymph nodes with extranodal extension. 3 months later, distant metastasis such as cervical lymph node, pleural effusion, pericardial effusion, peritoneal seeding and ascites were noticed.

Keyword

Advanced gastric cancer; Early gastric cancer

MeSH Terms

Adenocarcinoma
Adipose Tissue
Ascites
Biopsy
Endoscopy
Esophagus*
Female
Humans
Intestines*
Lymph Nodes
Middle Aged
Mucus
Neoplasm Metastasis
Pericardial Effusion
Pleural Effusion
Serous Membrane
Stomach Neoplasms*
Stomach*