A CASE OF EARLY GASTRIC CANCER IN WHICH THE DEGREE OF HISTOLOGICAL ATYPIA WAS CORRECTLY PREDICTED BY MAGNIFYING ENDOSCOPY COMBINED WITH NARROW BAND IMAGING

被引：3

作者：

Hirasawa, Dai ^{[1
]}

Fujita, Naotaka ^{[1
]}

Yamagata, Taku ^{[1
]}

Suzuki, Takashi ^{[1
]}

Noda, Yutaka ^{[1
]}

机构：

[1] Sendai City Med Ctr, Dept Gastroenterol, Miyagino Ku, Sendai, Miyagi 9830824, Japan

来源：

DIGESTIVE ENDOSCOPY | 2011年 / 23卷

关键词：

diagnosis; gastric adenoma; gastric cancer; magnifying endoscopy; narrow band imaging (NBI);

D O I：

10.1111/j.1443-1661.2011.01134.x

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We herein report a case of early gastric cancer with mixed components having different grades of atypia, which was correctly predicted by magnifying endoscopy combined with narrow band imaging. A 67-year-old man had a flat elevated lesion (0-IIa) in the anterior wall of the gastric antrum. With narrow band imaging, a flat lateral extension (0-IIb), not recognized with white light imaging was seen in the anal side of the main tumor. Magnifying endoscopy combined with narrow band imaging saw a relatively regular fine network pattern of micro-vessels in the surface of the 0-IIa area. However, in the surface of the 0-IIb area, a villous structure with villi of various size and heterogeneity, micro-vessels showing tortuousity were observed. We judged the grade of atypia to be higher in the 0-IIb area than in the 0-IIa area. Histological examination of the resected specimen verified the 0-IIa area and 0-IIb area as adenoma and adenocarcinoma, respectively.

引用

页码：92 / 94

页数：3

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