[A case of postoperative recurrent gastric cancer resembling esophageal achalasia diagnosed by endoscopic ultrasound-guided fine-needle aspiration].
A 74 year-old man underwent subtotal gastrectomy for advanced gastric cancer in 2000. The histological type of the cancer was signet-ring cell carcinoma, and the clinical stage was stage II (T2, N1, M0). In June 2008 the patient was referred to our hospital complaining of dysphagia. Esophageal endoscopy revealed a circular stenosis with covered with normal mucosa between the lower esophagus and the esophago-gastric junction. Histologically, samples obtained by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) revealed signet-ring cell carcinoma. Our experience suggests that EUS-FNA was useful for the histological diagnosis of recurrence of gastric cancer.
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University.
Akira
A
Asou
Soichi
S
Itaba
Hiroaki
H
Kubo
Yorinobu
Y
Sumida
Hirotada
H
Akiho
Kazuhiko
K
Nakamura
Ayako
A
Goto
Tetsuhide
T
Ito
Ryoichi
R
Takayanagi
D000368:Aged; D044963:Biopsy, Fine-Needle / Q000379:methods*; D018279:Carcinoma, Signet Ring Cell / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D019160:Endosonography; D004931:Esophageal Achalasia / Q000473:pathology; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery