|
KMID : 1038120180510020192
|
|
Clinical Endoscopy
2018 Volume.51 No. 2 p.192 ~ p.195
|
|
|
A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas
|
|
Yoon Jung-Bin
Lee Bong-Eun
Kim Dae-Hwan
Park Do-Youn
Jeon Hye-Kyung
Baek Dong-Hoon
Kim Gwang-Ha
Song Geun-Am
|
|
|
Abstract
|
|
|
|
Heterotopic pancreas in the stomach is usually asymptomatic and benign. Here, we presented a rare case of an early gastric cancer overlying a heterotopic pancreas. A 48-year-old woman underwent esophagogastroduodenoscopy, which revealed a subepithelial mass measuring 2.0×1.5 cm on the gastric antrum with a 1-cm erosive erythematous discoloration on the surface. A biopsy specimen showed moderately differentiated tubular adenocarcinoma. Endosonography showed a heterogeneous hypoechoic mass measuring 1.3×0.6 cm, with indistinct margins in the second and third layers of the gastric wall; anechoic tubular structures within the mass were suggestive of heterotopic pancreas. Distal gastrectomy was performed, which confirmed an early gastric cancer confined to the mucosa, and a separate underlying heterotopic pancreas. Although heterotopic pancreas is most likely benign, careful endoscopic observation of the mucosal surface is necessary to avoid overlooking a coincident early gastric cancer.
|
|
|
KEYWORD
|
|
|
Early gastric cancer, Heterotopic pancreas, Ectopic pancreas, Endosonography
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|