title: [A Case Report of Early Gastric Cancer with Submucosal Heterotopic Gastric Glands].
abstract: We reported a case of early gastric cancer with submucosal heterotopic gastric glands.A 62-year-old woman presented with poor appetite, weight loss, and epigastric pain.Endoscopy examination identified giant gastric folds and a gastric ulcer on the posterior wall of the upper-middle stomach.Biopsy specimen analysis showed adenocarcinoma.We preoperatively diagnosed the lesion as type II c-like advanced cancer and performed a total gastrectomy.Pathologically, the lesion was diagnosed as gastric cancer(non-solid type poorly differentiated adenocarcinoma)located in the mucosal layer and accompanied by submucosal heterotopic gastric glands.Submucosal gastric gland heterotopia is a relatively rare disease, and it is difficult to diagnose the glands before surgery is performed.However, endoscopic ultrasonography helps to demonstrate diffuse cystic lesion preoperatively.It is often associated with multiple gastric cancers.Therefore, we must diagnose and treat the disease with great care.
authors.affiliation: Dept. of Surgery, North Medical Center, Kyoto Prefectural University of Medicine.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Watanabe
authors.forename: Masato
authors.initials: M
authors.lastname: Mitsuda
authors.forename: Eijiro
authors.initials: E
authors.lastname: Yamashita
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ito
authors.forename: Atsushi
authors.initials: A
authors.lastname: Toma
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakamura
authors.forename: Toshiya
authors.initials: T
authors.lastname: Ochiai
mesh_terms: D001706:Biopsy; D055088:Early Detection of Cancer; D005260:Female; D005743:Gastrectomy; D005753:Gastric Mucosa / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome