A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas
Heterotopic pancreas in the stomach is usually asymptomatic and benign. Here, we presented a rare case of an early gastric cancer overlying a heterotopic pancreas. A 48-year-old woman underwent esophagogastroduodenoscopy, which revealed a subepithelial mass measuring 2.0×1.5 cm on the gastric antrum...
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2018-03-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2017-055.pdf |
| _version_ | 1797669250487287808 |
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| author | Jung Bin Yoon Bong Eun Lee Dae Hwan Kim Do Youn Park Hye Kyung Jeon Dong Hoon Baek Gwang Ha Kim Geun Am Song |
| author_facet | Jung Bin Yoon Bong Eun Lee Dae Hwan Kim Do Youn Park Hye Kyung Jeon Dong Hoon Baek Gwang Ha Kim Geun Am Song |
| author_sort | Jung Bin Yoon |
| collection | DOAJ |
| description | Heterotopic pancreas in the stomach is usually asymptomatic and benign. Here, we presented a rare case of an early gastric cancer overlying a heterotopic pancreas. A 48-year-old woman underwent esophagogastroduodenoscopy, which revealed a subepithelial mass measuring 2.0×1.5 cm on the gastric antrum with a 1-cm erosive erythematous discoloration on the surface. A biopsy specimen showed moderately differentiated tubular adenocarcinoma. Endosonography showed a heterogeneous hypoechoic mass measuring 1.3×0.6 cm, with indistinct margins in the second and third layers of the gastric wall; anechoic tubular structures within the mass were suggestive of heterotopic pancreas. Distal gastrectomy was performed, which confirmed an early gastric cancer confined to the mucosa, and a separate underlying heterotopic pancreas. Although heterotopic pancreas is most likely benign, careful endoscopic observation of the mucosal surface is necessary to avoid overlooking a coincident early gastric cancer. |
| first_indexed | 2024-03-11T20:41:28Z |
| format | Article |
| id | doaj.art-76bc24aeea714071a9cfe42465b05b12 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T20:41:28Z |
| publishDate | 2018-03-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-76bc24aeea714071a9cfe42465b05b122023-10-02T02:05:32ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432018-03-0151219219510.5946/ce.2017.0557026A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic PancreasJung Bin Yoon0Bong Eun Lee1Dae Hwan Kim2Do Youn Park3Hye Kyung Jeon4Dong Hoon Baek5Gwang Ha Kim6Geun Am Song7 Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea Department of Surgery, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea Department of Pathology, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, KoreaHeterotopic pancreas in the stomach is usually asymptomatic and benign. Here, we presented a rare case of an early gastric cancer overlying a heterotopic pancreas. A 48-year-old woman underwent esophagogastroduodenoscopy, which revealed a subepithelial mass measuring 2.0×1.5 cm on the gastric antrum with a 1-cm erosive erythematous discoloration on the surface. A biopsy specimen showed moderately differentiated tubular adenocarcinoma. Endosonography showed a heterogeneous hypoechoic mass measuring 1.3×0.6 cm, with indistinct margins in the second and third layers of the gastric wall; anechoic tubular structures within the mass were suggestive of heterotopic pancreas. Distal gastrectomy was performed, which confirmed an early gastric cancer confined to the mucosa, and a separate underlying heterotopic pancreas. Although heterotopic pancreas is most likely benign, careful endoscopic observation of the mucosal surface is necessary to avoid overlooking a coincident early gastric cancer.http://www.e-ce.org/upload/pdf/ce-2017-055.pdfEarly gastric cancerHeterotopic pancreasEctopic pancreasEndosonography |
| spellingShingle | Jung Bin Yoon Bong Eun Lee Dae Hwan Kim Do Youn Park Hye Kyung Jeon Dong Hoon Baek Gwang Ha Kim Geun Am Song A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas Clinical Endoscopy Early gastric cancer Heterotopic pancreas Ectopic pancreas Endosonography |
| title | A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas |
| title_full | A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas |
| title_fullStr | A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas |
| title_full_unstemmed | A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas |
| title_short | A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas |
| title_sort | rare case of early gastric cancer combined with underlying heterotopic pancreas |
| topic | Early gastric cancer Heterotopic pancreas Ectopic pancreas Endosonography |
| url | http://www.e-ce.org/upload/pdf/ce-2017-055.pdf |
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