Gastric Mixed Adenoneuroendocrine Carcinoma with a Good Prognosis

A flat, elevated lesion measuring 5 mm in diameter was found in the gastric body of an 80-year-old man. A biopsy showed moderately differentiated adenocarcinoma, and endoscopic ultrasonography revealed a hypoechoic mass located in the submucosa. Endoscopic submucosal dissection was subsequently perf...

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Veröffentlicht in:Internal Medicine 2014, Vol.53(22), pp.2585-2588
Hauptverfasser: Fukuba, Nobuhiko, Yuki, Takafumi, Ishihara, Shunji, Sonoyama, Hiroki, Tada, Yasumasa, Kusunoki, Ryusaku, Oka, Akihiko, Oshima, Naoki, Moriyama, Ichiro, Kawashima, Kousaku, Kinoshita, Yoshikazu
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container_end_page 2588
container_issue 22
container_start_page 2585
container_title Internal Medicine
container_volume 53
creator Fukuba, Nobuhiko
Yuki, Takafumi
Ishihara, Shunji
Sonoyama, Hiroki
Tada, Yasumasa
Kusunoki, Ryusaku
Oka, Akihiko
Oshima, Naoki
Moriyama, Ichiro
Kawashima, Kousaku
Kinoshita, Yoshikazu
description A flat, elevated lesion measuring 5 mm in diameter was found in the gastric body of an 80-year-old man. A biopsy showed moderately differentiated adenocarcinoma, and endoscopic ultrasonography revealed a hypoechoic mass located in the submucosa. Endoscopic submucosal dissection was subsequently performed, and a pathological examination revealed a tumor composed of adenocarcinoma and neuroendocrine carcinoma with submucosal infiltration. The pathological diagnosis was gastric mixed adenoneuroendocrine carcinoma (MANEC). An additional gastrectomy procedure was performed, and no recurrence was noted for at least three years. This case is interesting with respect to the carcinogenesis of endocrine cell carcinoma and MANEC.
doi_str_mv 10.2169/internalmedicine.53.3328
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subjects Aged, 80 and over
Biopsy
Carcinoma, Neuroendocrine - diagnosis
Carcinoma, Neuroendocrine - surgery
Endosonography
Gastrectomy
gastric cancer
good prognosis
Humans
Male
mixed adenoneuroendocrine carcinoma
Prognosis
Stomach Neoplasms - diagnosis
Stomach Neoplasms - surgery
title Gastric Mixed Adenoneuroendocrine Carcinoma with a Good Prognosis
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