筋層を主座とする壁内転移を来した胃内分泌細胞癌の1例

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  • A Case of Gastric Endocrine Cell Carcinoma with Intramural Metastasis Invading Mainly the Muscle Layer

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A 58 years old female was admitted with a loss of appetite. Endoscopic examination revealed a type 2 gastric cancer located at the anterior wall of the antrum and submucosal tumor at the pre-pylorus. She underwent distal gastrectomy with D3 lymph node dissection. Pathological examinations of type 2 tumor demonstrated endocrine cell carcinoma proliferating in the muscular layer. Submucosal tumor at the prepylorus consisted of endocrine cell carcinoma proliferating in the muscle and the subserosal layers. Gastric endocrine cell carcinoma is a rare disease characterized by high malignant potential. Topographical locations of two lesions with normal tissue between them suggested the intramural metastasis.

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