Kubo Kimitoshi, Takahashi Ryo, Kimura Noriko, Maiya Norishige, Matsuda Soichiro, Tsuda Momoko, Mizushima Takeshi, Ohara Masanori, Kato Mototsugu
Department of Gastroenterology, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
Department of Surgery, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
Case Rep Gastroenterol. 2021 Mar 18;15(1):400-407. doi: 10.1159/000514395. eCollection 2021 Jan-Apr.
Collison tumor of the stomach is rare, and its endoscopic and pathological features remain poorly described. A 70-year-old woman was referred to our hospital for examination and treatment of undifferentiated gastric cancer. Esophagogastroduodenoscopy revealed a whitish, superficial elevated lesion in contact with a reddish, superficial depressed lesion from the anterior wall of the gastric angle and antrum to the lesser curvature. Laparoscopic distal gastrectomy was performed for preoperative diagnosis of suspected early gastric cancer presenting as a differentiated and undifferentiated collision tumor, which led to the lesion being diagnosed as collision tumor, tub1-tub2+por1-sig, pT1a (M), ly0, v0, N0, stage IA. To our knowledge, this report represents a valuable addition to the collision tumor literature describing a rare case of preoperatively diagnosed collision tumor of the stomach.
胃碰撞瘤罕见,其内镜及病理特征仍描述甚少。一名70岁女性因未分化型胃癌来我院检查及治疗。食管胃十二指肠镜检查发现,从胃角前壁和胃窦至小弯处有一个白色浅表隆起性病变,与一个红色浅表凹陷性病变相连。因术前诊断怀疑为表现为分化型和未分化型碰撞瘤的早期胃癌,遂行腹腔镜远端胃切除术,术后病变被诊断为碰撞瘤,tub1-tub2+por1-sig,pT1a(M),ly0,v0,N0,IA期。据我们所知,本报告为碰撞瘤文献增添了有价值的内容,描述了一例术前诊断的罕见胃碰撞瘤病例。