Año 2024 / Volumen 116 / Número 8
Carta
Clinicopathological characteristics of well-differentiated gastric cancer missed by endoscopy

452-453

DOI: 10.17235/reed.2023.9980/2023

Ruixue Lei, Haijun Yang,

Resumen
The objective was to explore the clinicopathological features of moderately well-differentiated gastric cancer missed by endoscopy. The clinicopathological data of 88 patients who were diagnosed as moderately well-differentiated gastric cancer by biopsy and pathology from January 2019 to December 2020 in Anyang Tumor Hospital were analyzed retrospectively. The clinicopathological features and immunophenotypic characteristics of these gastric cancers were analyzed together with the literature review. Seventy males and 18 females were included in this study. There were 59 cases of gastritis, 14 cases of ulcer and 15 cases of polyp under endoscope. Based on mucous phenotype, there were 27 gastric cases, 18 intestinal cases, 39 gastrointestinal cases and 4 untyping cases. 54 cases expressed mutant p53 and 34 cases had wild type p53. None of the indicators could yield reliablediagnosis, which requires comprehensive morphological and immunohistochemical analysis by the pathologist. Meanwhile, the clinician should give the patient a systematic treatment plan incuding endoscopy, magnifying endoscopy, NBI, linear endoscopic ultrasound and other examinations. Regardless of the diagnostic criteria, once the pathology suggests a tumor lesion, local resection should be performed first. Additional surgery can be performed if there is submucosal invasion.
Nuevo comentario
Comentarios
No hay comentarios para este artículo.
Bibliografía
[1] Kim MJ, Hong JH, Park ES, et al. Gastric metastasisfrom primary lung adenocarcinoma mimickingprimarygastric cancer[J]. World J Gastrointest Oncol,2015,7(3):12-16.
[2] KASUGAI T: Prognosis of early gastric cancer. Gastroenterology 58:429, 1970.
[3]WHO Classification of Tumours Editorial Board. WHO classification of tumours. Digestive system tumours[M]. 5th ed. Lyon: IARC Press, 2019.
[4]Piao Z, Ding X, Jiang H, et al. Pathological diagnosis of gastric adenoma and early well-differentiated adenocarcinoma in Japan. Chinese Journal of Digestive Endoscopy, 2020,37:11-14.
[5]Zhou J, Wang Q, Li H, et al. Comparison of diagnostic accuracy between linear EUS and miniprobe EUS for submucosal invasion in suspected cases of early gastric cancer. Rev Esp Enferm Dig. 2022 Nov;114(11):648-653.
Artículos relacionados

Carta

A rare case of hepatoid gastric adenocarcinoma

DOI: 10.17235/reed.2024.10285/2024

Carta

Calcifying fibrous tumor and pathological analysis

DOI: 10.17235/reed.2023.9739/2023

Carta

Endoscopic observation of a rare duodenal tumor

DOI: 10.17235/reed.2023.9679/2023

Imagen en Patología Digestiva

Infiltrado submucoso de larvas de Anisakis. Causa infrecuente de obstrucción intestinal

DOI: 10.17235/reed.2023.9582/2023

Carta

Primary squamous cell carcinoma of the stomach: a rare entity

DOI: 10.17235/reed.2018.5900/2018

Instrucciones para citar
Lei R, Yang H. Clinicopathological characteristics of well-differentiated gastric cancer missed by endoscopy. 9980/2023


Descargar en un gestor de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica
Este artículo ha sido visitado 1537 veces.
Este artículo ha sido descargado 56 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 24/09/2023

Aceptado: 29/09/2023

Prepublicado: 26/10/2023

Publicado: 01/08/2024

Tiempo de prepublicación: 32 días

Tiempo de edición del artículo: 312 días


Compartir
Este artículo aun no tiene valoraciones.
Valoración del lector:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
La REED es el órgano oficial de la Sociedad Española de Patología Digestiva, la SociedadEspañola de Endoscopia Digestiva y la Asociación Española de Ecografía Digestiva
Política de cookies Política de Privacidad Aviso Legal © Copyright 2025 y Creative Commons. Revista Española de Enfermedades Digestivas