Kenno Sachiko, Takahashi Shusaku, Tanaka Yuka, Ono Yosuke, Funakoshi Toru, Yamagami Hideki, Ishizu Hiroyuki, Gotoda Yuko
Dept. of Surgery, Sapporo Kosei Hospital.
Gan To Kagaku Ryoho. 2019 Feb;46(2):303-305.
Case 1: A 66-year-old man underwent esophagogastroduodenoscopy(EGD), which showed a slightly elevated lesion at the greater curvature of the cardia. We diagnosed gastric adenocarcinoma(tub1, 2)as a result of the biopsy. Endoscopic submucosal dissection(ESD)was performed. The pathological examination revealed a gastric adenocarcinoma of the fundic type(GA-FG), with a tumor depth of SM2. Consequently, laparoscopic gastrectomy was additionally performed. Case 2: A 65-year-old woman underwent EGD, which revealed a slightly elevated lesion at the posterior wall of the upper body. We made a diagnosis of GA-FG as on the basis of biopsy resuit. ESD was performed. A pathological examination revealed that the tumor depth was SM2. Consequently, laparoscopic gastrectomy was additionally performed. GA-FG rarely demonstrates metastasis and recurrence. Most cases undergo ESD, few reports of surgical resection exist. We report our experience of laparoscopic gastrectomy for GA-FG.
病例1：一名66岁男性接受了食管胃十二指肠镜检查（EGD），结果显示贲门大弯处有一个略微隆起的病变。活检结果显示为胃腺癌（tub1，2）。遂进行了内镜下黏膜下剥离术（ESD）。病理检查显示为胃底型胃腺癌（GA-FG），肿瘤深度为SM2。因此，又进行了腹腔镜胃切除术。病例2：一名65岁女性接受了EGD检查，结果显示上体后壁有一个略微隆起的病变。根据活检结果诊断为GA-FG。进行了ESD。病理检查显示肿瘤深度为SM2。因此，又进行了腹腔镜胃切除术。GA-FG很少发生转移和复发。大多数病例接受ESD治疗，关于手术切除的报道很少。我们报告了我们对GA-FG进行腹腔镜胃切除术的经验。
