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[腹腔镜胃切除术治疗胃底腺型胃腺癌]

[Laparoscopic Gastrectomy for Gastric Adenocarcinoma of the Fundic Gland Type].

作者信息

Kenno Sachiko, Takahashi Shusaku, Tanaka Yuka, Ono Yosuke, Funakoshi Toru, Yamagami Hideki, Ishizu Hiroyuki, Gotoda Yuko

机构信息

Dept. of Surgery, Sapporo Kosei Hospital.

出版信息

Gan To Kagaku Ryoho. 2019 Feb;46(2):303-305.

Abstract

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.

摘要

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。

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