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KMID : 0614620130620020122
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Korean Journal of Gastroenterology
2013 Volume.62 No. 2 p.122 ~ p.125
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Submucosal Tumor-like Early-stage Mucinous Gastric Carcinoma: A Case Study
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Yoo Chan-Hui
Park Seon-Ja
Park Moo-In
Moon Won
Kim Hyung-Hun
Lee Jun-Sik
Song Jun-Young
Chang Hee-Kyung
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Abstract
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Mucinous gastric carcinoma (MGC) is an unusual histologic subtype, and early detection of MGC is very rare. Early-stage MGC appears as an elevated lesion resembling a submucosal tumor (SMT) due to abundant mucin pools in the submucosa or mucosa. We report a rare case of SMT-like early-stage MGC. Tumor type was predicted preoperatively based on characteristic endoscopic findings, in which an SMT-like mass was observed at the gastric fundus. The tumor was covered by nearly normal mucosa, but with an opening allowing for the passage of copious mucus discharge. A total gastrectomy with Roux-en-Y esophagojejunostomy was subsequently performed. Histopathology of the tumor revealed early-stage (lamina propria) mucinous adenocarcinoma.
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KEYWORD
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Stomach, Neoplasms, Mucins
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