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KMID : 0931320160160010046
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대한상부위장관.헬리코박터학회지
2016 Volume.16 No. 1 p.46 ~ p.51
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Extensive Bone Metastasis following Curative Endoscopic Submucosal Dissection for Early Gastric Cancer: A Case Report
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손동준:Son Dong-Jun
김현종:Kim Hyeon-Jong/기명서:Ki Myung-Seo/김진웅:Kim Jin-Woong/이경화:Lee Kyung-Hwa/배우균:Bae Woo-Kyun/이완식:Lee Wan-Sik
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Abstract
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The therapeutic indication for endoscopic submucosal dissection (ESD) can be expanded to treat small-sized (＜2 cm) early gastric cancer (EGC) with undifferentiated histology. Here, we report the case of a 62-year-old woman in whom EGC was initially diagnosed by endoscopy and CT. She subsequently underwent ESD. Histological examination revealed a mixed type adenocarcinoma with poorly differentiated histology confined to the mucosa without ulcer and lymphovascular involvement. Subsequent regular examinations showed no recurrence for 7 years. She complained of fatigue and weight loss on the 7th year of follow-up. Radiologic examination showed multiple bone metastases and the bone biopsy specimen revealed adenocarcinoma resembling the previous EGC
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KEYWORD
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Early gastric cancer, Endoscopic submucosal dissection, Bone metastasis
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