title: Recurrent intramucosal gastric carcinoma with extensive invasion to duodenal mucosa after endoscopic mucosal resection: a case report.
abstract: The occurrence of early gastric carcinoma with invasion to the duodenum is supposed to be very low, although advanced cancers arising in the antrum can often invade the duodenal area. Generally, malignant invasion of the duodenum is difficult to diagnose preoperatively, as spread of gastric cancer to the duodenum is often infiltrative and invades through the submucosal or subserosal layer. We report an unusual case of an intramucosal gastric carcinoma with extensive duodenal invasion that was preoperatively diagnosed by endoscopy.
authors.affiliation: Department of Surgery, Division of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Ishikawa
authors.forename: Joji
authors.initials: J
authors.lastname: Kitayama
authors.forename: Shin
authors.initials: S
authors.lastname: Fujii
authors.forename: Hironori
authors.initials: H
authors.lastname: Ishigami
authors.forename: Shoichi
authors.initials: S
authors.lastname: Kaizaki
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Nagawa
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D000368:Aged; D001706:Biopsy; D004379:Duodenal Neoplasms / Q000473:pathology* / Q000601:surgery; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D005500:Follow-Up Studies; D005743:Gastrectomy; D005753:Gastric Mucosa / Q000473:pathology; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D009361:Neoplasm Invasiveness; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery