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  • Title: Early gastric cancer with spreading to heterotopic gastric glands in the submucosa: a case report and review of the literature.
    Author: Hagiwara T, Kakushima N, Imai K, Tanaka M, Takao T, Hotta K, Yamaguchi Y, Takizawa K, Matsubayashi H, Ono H, Oishi T, Nakajima T.
    Journal: Clin J Gastroenterol; 2014 Apr; 7(2):123-8. PubMed ID: 26183626.
    Abstract:
    We report two cases of early gastric cancer (EGC) with spreading to heterotopic gastric glands (HGG). The first case was a submucosal-tumor-like EGC and proximal gastrectomy was performed. The second case was a slightly elevated EGC and endoscopic submucosal dissection was performed. In both cases, pathological results showed adenocarcinoma spreading to the HGG in the submucosa. The depth of cancer was diagnosed as intramucosal carcinoma because cancer was limited to the epithelium of HGG without invasion to the submucosal stroma. There is no clear guideline concerning the management of early gastric cancers with spreading to heterotopic gastric glands.
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