title: Two endoscopic submucosal dissection procedures for stripping huge segment of the gastric mucosa to treat early gastric signet ring cell carcinoma.
abstract: OBJECTIVE
  To introduce the method of stripping of early gastric signet ring cell carcinioma by two ESD procedures.
  
  
  METHODS
  A lesion of early gastric signet ring cell carcinoma in an elderly was removed by two consecutive ESD procedures. The pathology was analyzed and the patient was followed-up.
  
  
  RESULTS
  The lesion removed by first ESD procedure, which was 10 cm in diameter, has tumor tissue on its edge, and the second lesion which was 5 cm in diameter had an edge without tumor. There was no metastasis or recurrence during 24-month follow-up.
  
  
  CONCLUSIONS
  We first described the method using two consecutive ESD procedures in man with gastric signet ring cell carcinoma, and the procedure was proved to be safe and efficient.
authors.forename: Shengxi
authors.initials: S
authors.lastname: Li
authors.affiliation: Digestive Endoscopy Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Meidong
authors.initials: M
authors.lastname: Xu
authors.forename: Chu
authors.initials: C
authors.lastname: Yuan
mesh_terms: D000369:Aged, 80 and over; D018279:Carcinoma, Signet Ring Cell / Q000175:diagnosis* / Q000601:surgery; D055088:Early Detection of Cancer; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D008297:Male; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome