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KMID : 0614620110570050288
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Korean Journal of Gastroenterology
2011 Volume.57 No. 5 p.288 ~ p.293
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Characteristics of Advanced Gastric Cancer Undetected on Gastroscopy
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Sung In-Kyung
Kim Young-Choon
Yun Jung-Won
Seo Hyun-Il
Park Dong-Il
Cho Yong-Kyun
Kim Hong-Joo
Park Jung-Ho
Sohn Chong-Il
Jeon Woo-Kyu
Kim Byung-Ik
Oh Suk-Joong
Son Byung-Ho
Yoo Chang-Hak
Sohn Jin-Hee
Lee Hwa-Young
Won Kyung-Hee
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Abstract
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Background/Aims : Stomach cancer can be easily diagnosed via endoscopy, but also possible to be missed. The aim of this study was to investigate the clinical and endoscopic characteristics of advanced gastric cancers that were not diagnosed based on endoscopic examination.
Methods: We evaluated patients who had newly diagnosed advanced gastric cancer that was undetected via endoscopy within the last six months.
Results: Sixteen patients were included in this study. The locations of the cancers were the cardia in six cases, the greater curvature side of the body in eight cases and the antrum in two cases. The histological findings were tubular type adenocarcinoma in 11 cases, with ten cases of moderately to poorly differentiated adenocarcinoma and five cases of signet ring cell type adenocarcinoma.
Conclusion: Even advanced gastric cancer lesions may not be detected during endoscopy. If a patient continues to complain of upper gastrointestinal symptoms, even though endoscopy does not find abnormal findings, repeated endoscopy and/or additional diagnostic studies should be considered.
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KEYWORD
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Gastric cancer, Gastroscopy
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