Published online Aug 14, 2013. doi: 10.3748/wjg.v19.i30.5016
Revised: May 14, 2013
Accepted: June 1, 2013
Published online: August 14, 2013
Core tip: This case report provides the first description of an adult male with bone metastasis from early gastric cancer following an eight-year disease-free interval after endoscopic submucosal dissection (ESD). Although the original tumor was confined to the mucosa, with no evidence of lymphovascular involvement, the ESD was regarded as a non-curative resection based upon the tumor’s histological type and size, and existence of an ulcer finding. If any patient, who is otherwise fit, initially refuses surgery and requests a contraindicated ESD, efforts should be made to persuade the patient to undergo a gastrectomy with lymph-node dissection.