Ando Hiroyuki, Morinaga Nobuhiro, Shitara Yoshinori, Suzuki Kazuya, Toyoda Mitsuo, Kano Hanako, Suzuki Yutaka, Mochiki Erito, Kuwano Hiroyuki
Department of Surgery, Isesaki Municipal Hospital, Isesaki, Japan.
Hepatogastroenterology. 2008 May-Jun;55(84):1146-9.
A case of stomach carcinoma showing the features of a submucosal tumor (SMT) is reported. The patient was a 65-year-old woman admitted to the Internal Medicine Department with autoimmune hepatitis and complaining of anemia and tarry stools. Endoscopy revealed a submucosal tumor-like lesion with central ulceration. The lesion was the suspected cause of the anemia; therefore, a partial resection of the stomach was performed. The histopathologic examination revealed a mucinous adenocarcinoma (MUC). The tumor extended to the submucosa. Accordingly, a subtotal gastrectomy with regional lymph node dissection was performed. In stomach carcinoma simulating an SMT, generally preoperative diagnosis is important. However, in this patient, surgery was selected as the best treatment.
报告了一例具有黏膜下肿瘤（SMT）特征的胃癌病例。患者为一名65岁女性，因自身免疫性肝炎入住内科，主诉贫血和柏油样便。内镜检查发现一个伴有中央溃疡的黏膜下肿瘤样病变。该病变被怀疑是贫血的病因；因此，进行了胃部分切除术。组织病理学检查显示为黏液腺癌（MUC）。肿瘤已扩展至黏膜下层。因此，进行了胃次全切除术并清扫区域淋巴结。在模拟SMT的胃癌中，术前诊断通常很重要。然而，在该患者中，手术被选为最佳治疗方法。
