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World J Gastroenterol. Nov 28, 2013; 19(44): 8141-8145
Published online Nov 28, 2013. doi: 10.3748/wjg.v19.i44.8141
Published online Nov 28, 2013. doi: 10.3748/wjg.v19.i44.8141
Seven synchronous early gastric cancer with 28 lymph nodes metastasis
Hyeonjin Seong, Jin Il Kim, Hyun Jeong Lee, Hyun Jin Kim, Hyung Joon Cho, Hye Kang Kim, Dae Young Cheung, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 150-713, South Korea
Dong Jin Kim, Wook Kim, Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul 150-713, South Korea
Tae-Jung Kim, Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul 150-713, South Korea
Author contributions: Seong H wrote the paper; Kim JI designed the report and organized the report; Lee HJ, Kim HJ and Cho HJ were attending doctors for the patients; Kim HK and Cheung DY were examined the endoscopy; Kim DJ and Kim W were performed surgical operation; Kim TJ performed pathological examinations.
Correspondence to: Jin Il Kim, MD, PhD, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, 62 Yeouido-dong, Yeongdeungpo-gu, Seoul 150-713, South Korea. jikim@catholic.ac.kr
Telephone: +82-2-37792382 Fax: +82-2-37791331
Received: August 15, 2013
Revised: September 12, 2013
Accepted: September 16, 2013
Published online: November 28, 2013
Revised: September 12, 2013
Accepted: September 16, 2013
Published online: November 28, 2013
Core Tip
Core tip: Early gastric cancer is often found synchronously in 2 to 3 lesions. However, this case reports on an unprecedented case of 7 lesions of early gastric cancer. Furthermore, this case deserves more attention because 28 out of 48 lymph nodes showed post-operative metastasis, even though there was only 1 invasion to the 1/3 of the submucosal layer and the remaining 6 invading only up to the mucosal layer. This report speaks to the necessity of extra caution in diagnosing multiple synchronous lesions of early gastric cancer with esophagogastro-duodenoscopy.