Cryptic Early Gastric Carcinoma in Gastric Stump: Challenges in Diagnostic Evaluation
Partial gastrectomy, performed for any indication, is a well-recognized risk factor for carcinoma developing in the gastric remnant (so-called “gastric stump carcinoma”). In symptomatic patients with gastro-enteric anastomosis, it is a common practice to endoscopically evaluate the patency and the s...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Pathology |
| Online Access: | http://dx.doi.org/10.1155/2019/1794370 |
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| author | Subramanya Sakaleshpura Mallikarjunappa Shriram Jakate |
| author_facet | Subramanya Sakaleshpura Mallikarjunappa Shriram Jakate |
| author_sort | Subramanya Sakaleshpura Mallikarjunappa |
| collection | DOAJ |
| description | Partial gastrectomy, performed for any indication, is a well-recognized risk factor for carcinoma developing in the gastric remnant (so-called “gastric stump carcinoma”). In symptomatic patients with gastro-enteric anastomosis, it is a common practice to endoscopically evaluate the patency and the status of the anastomosis and procure biopsy samples when endoscopic abnormalities are noted. We describe a case with Billroth I gastroduodenal anastomosis with oozing and friability at the anastomosis site which was biopsied. The biopsies showed invasive intestinal-type adenocarcinoma. Subsequent completion gastrectomy showed no grossly visible tumor and required extensive initial and additional sampling of the anastomosis and the surrounding stomach to locate a small focus of invasive adenocarcinoma limited to the mucosa (“early gastric carcinoma”). This case illustrates a known complication of partial gastrectomy and highlights challenges in diagnostic evaluation of early gastric carcinoma after gastrectomy. |
| format | Article |
| id | doaj-art-cccaac0e2d9c4f4ba9f26d521f9fe7ca |
| institution | Kabale University |
| issn | 2090-6781 2090-679X |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pathology |
| spelling | doaj-art-cccaac0e2d9c4f4ba9f26d521f9fe7ca2025-02-03T01:10:25ZengWileyCase Reports in Pathology2090-67812090-679X2019-01-01201910.1155/2019/17943701794370Cryptic Early Gastric Carcinoma in Gastric Stump: Challenges in Diagnostic EvaluationSubramanya Sakaleshpura Mallikarjunappa0Shriram Jakate1MD, PGY-1 Resident in Pathology, Department of Pathology, Rush University Medical Center, 1750 W. Harrison St., Suite 570, Chicago, IL 60612, USAProfessor of Pathology, Gastroenterology and Hepatology, Department of Pathology, Rush University Medical Center, 1750 W. Harrison St., Suite 570, Chicago, IL 60612, USAPartial gastrectomy, performed for any indication, is a well-recognized risk factor for carcinoma developing in the gastric remnant (so-called “gastric stump carcinoma”). In symptomatic patients with gastro-enteric anastomosis, it is a common practice to endoscopically evaluate the patency and the status of the anastomosis and procure biopsy samples when endoscopic abnormalities are noted. We describe a case with Billroth I gastroduodenal anastomosis with oozing and friability at the anastomosis site which was biopsied. The biopsies showed invasive intestinal-type adenocarcinoma. Subsequent completion gastrectomy showed no grossly visible tumor and required extensive initial and additional sampling of the anastomosis and the surrounding stomach to locate a small focus of invasive adenocarcinoma limited to the mucosa (“early gastric carcinoma”). This case illustrates a known complication of partial gastrectomy and highlights challenges in diagnostic evaluation of early gastric carcinoma after gastrectomy.http://dx.doi.org/10.1155/2019/1794370 |
| spellingShingle | Subramanya Sakaleshpura Mallikarjunappa Shriram Jakate Cryptic Early Gastric Carcinoma in Gastric Stump: Challenges in Diagnostic Evaluation Case Reports in Pathology |
| title | Cryptic Early Gastric Carcinoma in Gastric Stump: Challenges in Diagnostic Evaluation |
| title_full | Cryptic Early Gastric Carcinoma in Gastric Stump: Challenges in Diagnostic Evaluation |
| title_fullStr | Cryptic Early Gastric Carcinoma in Gastric Stump: Challenges in Diagnostic Evaluation |
| title_full_unstemmed | Cryptic Early Gastric Carcinoma in Gastric Stump: Challenges in Diagnostic Evaluation |
| title_short | Cryptic Early Gastric Carcinoma in Gastric Stump: Challenges in Diagnostic Evaluation |
| title_sort | cryptic early gastric carcinoma in gastric stump challenges in diagnostic evaluation |
| url | http://dx.doi.org/10.1155/2019/1794370 |
| work_keys_str_mv | AT subramanyasakaleshpuramallikarjunappa crypticearlygastriccarcinomaingastricstumpchallengesindiagnosticevaluation AT shriramjakate crypticearlygastriccarcinomaingastricstumpchallengesindiagnosticevaluation |