Xu Yong-Wei, Song Yan, Tian Jun, Zhang Ba-Cui, Yang Yu-Sheng, Wang Jing
Department of Gastroenterology, Songjiang Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 201600, China.
Department of Pathology, Songjiang Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 201600, China.
World J Gastrointest Oncol. 2024 Apr 15;16(4):1660-1667. doi: 10.4251/wjgo.v16.i4.1660.
Gastric cancer (GC) is a significant health problem worldwide, and early detection and accurate diagnosis are crucial for improving patient outcomes. Crawling-type gastric adenocarcinoma is a rare subtype of GC that has unique histopathological and clinical characteristics, and its diagnosis and management can be challenging. This pathological type of GC is also rare.
Here, we report the case of a patient who underwent ordinary endoscopy, narrow-band imaging, and endoscopic ultrasonography intending to determine the extent of tumor invasion and upper abdominal enhanced computed tomography and whether there was tumor metastasis. Then, endoscopic submucosal dissection was performed. After pathological and immunohistochemical examination, the pathological diagnosis was crawling-type gastric adenocarcinoma. This is a very rare and special pathological type of tumor. This case highlights the importance of using advanced endoscopic techniques and pathological examination in diagnosing and managing gastric crawling-type adenocarcinoma. Moreover, the findings underscore the need for continued research and clinical experience in this rare subtype of GC to improve patient outcomes.
The "crawling-type" GC is a rare and specific tumor pathology. It is difficult to identify and diagnose gliomas endoscopy. The tumor is ill-defined, with a flat appearance and indistinct borders due to the lack of contrast against the background mucosa. Pathology revealed that the tumor cells were hand-like, so the patient has diagnosed with "crawling-type" gastric adenocarcinoma.
胃癌（GC）是全球范围内一个重要的健康问题，早期检测和准确诊断对于改善患者预后至关重要。爬行型胃腺癌是胃癌的一种罕见亚型，具有独特的组织病理学和临床特征，其诊断和管理可能具有挑战性。这种病理类型的胃癌也很罕见。
在此，我们报告一例患者，该患者接受了普通内镜检查、窄带成像和内镜超声检查，以确定肿瘤浸润范围以及上腹部增强计算机断层扫描和是否存在肿瘤转移。然后进行了内镜黏膜下剥离术。经过病理和免疫组化检查，病理诊断为爬行型胃腺癌。这是一种非常罕见且特殊的肿瘤病理类型。该病例凸显了在诊断和管理胃爬行型腺癌中使用先进内镜技术和病理检查的重要性。此外，研究结果强调了在这种罕见的胃癌亚型中持续开展研究和积累临床经验以改善患者预后的必要性。
“爬行型”胃癌是一种罕见且特殊的肿瘤病理学类型。在内镜检查中难以识别和诊断。肿瘤边界不清，外观扁平，由于与背景黏膜缺乏对比度，边界不清晰。病理显示肿瘤细胞呈手样，因此该患者被诊断为“爬行型”胃腺癌。
