title: Endoscopic mucosal resection (EMR) for the management of poorly differentiated adenocarcinoma of the stomach: a patient who had recurrence and died 4 years after EMR.
abstract: Recent studies have explored the possibility of using endoscopic mucosal resection (EMR) to treat lesions with a relative indication for endoscopic therapy. We used EMR to manage poorly differentiated adenocarcinoma, a relative indication for endoscopic treatment, in a patient who requested such treatment and refused surgical intervention. We describe our experience with this patient, who died of tumor recurrence 4 years after the EMR. This case describes the problems of using EMR for the treatment of poorly differentiated adenocarcinoma.
authors.affiliation: Department of Internal Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Murakami
authors.forename: Satoshi
authors.initials: S
authors.lastname: Tanabe
authors.forename: Wasaburou
authors.initials: W
authors.lastname: Koizumi
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Higuchi
authors.forename: Toru
authors.initials: T
authors.lastname: Sasaki
authors.forename: Kumiko
authors.initials: K
authors.lastname: Tahara
authors.forename: Tadashi
authors.initials: T
authors.lastname: Kitamura
authors.forename: Katsunori
authors.initials: K
authors.lastname: Saigenji
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Shimao
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Mitomi
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000401:mortality; D019468:Disease Management; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000401:mortality; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000401:mortality; D016312:Treatment Refusal