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World J Gastroenterol. Jul 28, 2014; 20(28): 9621-9625
Published online Jul 28, 2014. doi: 10.3748/wjg.v20.i28.9621
Published online Jul 28, 2014. doi: 10.3748/wjg.v20.i28.9621
Undiagnosed Borrmann type II gastric cancer due to necrosis and regenerative epithelium
Joon Hur, Jae Hyuck Chang, Hoon Young Ko, Jong Hwan Lee, Soo Jeong Kim, Mi Ae Song, Tae Ho Kim, Chang Whan Kim, Sok Won Han, Division of Gastroenterology, Department of Internal Medicine, Bucheon St. Mary’s Hospital, The Catholic University of Korea, College of Medicine, Bucheon 420-717, South Korea
Byung Kee Kim, Department of Clinical Pathology, Bucheon St. Mary’s Hospital, The Catholic University of Korea, College of Medicine, Bucheon 420-717, South Korea
Author contributions: Hur J and Chang JH designed and organized the report; Ko HY, Lee JH, Kim SJ, Song MA, Kim TH, Kim CW and Han SW contributed to the discussion and reviewed the manuscript; and Kim BK performed the pathological examinations and reconstruction mapping.
Correspondence to: Jae Hyuck Chang, MD, PhD, Division of Gastroenterology, Department of Internal Medicine, Bucheon St. Mary’s Hospital, The Catholic University of Korea, College of Medicine, Bucheon 420-717, South Korea. wwjjaang@catholic.ac.kr
Telephone: +82-32-3402227 Fax: +82-32-3402255
Received: January 13, 2014
Revised: January 29, 2014
Accepted: April 1, 2014
Published online: July 28, 2014
Revised: January 29, 2014
Accepted: April 1, 2014
Published online: July 28, 2014
Core Tip
Core tip: We present a case of Borrmann type II gastric cancer undiagnosed by three repeat endoscopic biopsies with multiple specimens due to necrosis and superficial regenerative epithelium. When endoscopic and ultrasonography findings highly suggest malignancy, operation or surgical biopsy should be considered.