Endoscopic Mucosal Resection Using a Cap‐fitted Panendoscope as a Diagnostic Procedure in a Case of Scirrhous Gastric Carcinoma

Kodani, Tomohiro; Osada, Taro; Matsumoto, Kenshi; Katô, Junko; Higashihara, Yoshie; Morimoto, Takashi; Ogata, Chie; Taniguchi, Gentaro; Mizui, Tomokazu; Matsumura, Yuichi; Yoshizawa, Takashi; Nagahara, Akihito; Mitomi, Hiroyuki; Yao, Takashi; Watanabe, Sumio

doi:10.1111/j.1443-1661.2011.01183.x

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…In addition to EUS-FNA, boring biopsy is another option. Other options include biopsy of the lesion after exposing deep layers via endoscopic mucosal resection with a cap (EMRC) [ 8 ] or submucosal dissection [ 9 ] and biopsy of the lesion after laparoscopically exposing the serosa. [ 10 ] A search for studies on histopathological diagnosis via deep biopsy of advanced gastric LP in PubMed since 2000 determined that EUS-FNA, boring biopsy, boring biopsy after mucosal dissection, biopsy of the lesion after exposing deep layers via EMRC and submucosal dissection, and biopsy of the lesion after laparoscopically exposing the serosa were used in 2, 5, 19, 1, and 1 studies, respectively (Table 2 ).…”

Section: Discussionmentioning

confidence: 99%

A case report of gastric linitis plastica diagnosed by endoscopic ultrasound-guided fine needle aspiration

Muraoka

Tsuchida²,

Iwasaki³

et al. 2017

Medicine

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Rationale:There is currently no consensus on the ideal method for obtaining deep tissue biopsy material of advanced gastric LP. EUS-FNA has potential as a useful diagnostic method. Thus, we report the case of a 46-year-old male with advanced gastric linitis plastica (LP) who was diagnosed using endoscopic ultrasound-guided fine needle aspiration (EUS-FNA).Patient concerns:The patient underwent esophagogastroduodenoscopy (EGD) because of epigastric pain at a local clinic. The gastric fold swelling was pointed out by the EGD and despite the suspected advanced gastric LP, biopsy indicated Group 1. Repeat biopsy did not suggest malignancy. The patient was referred to our institution.Diagnoses:Endoscopic ultrasound indicated gastric wall thickening mainly in the greater curvature of the gastric corpus. Low-level echoes were detected throughout the entire gastric wall, and gastric wall layers had been disappeared. EUS-FNA of the gastric wall indicated signet ring cell carcinoma.Interventions:As a result of EUS - FNA, it became a policy to administer chemotherapy. In accordance with the patient's wishes, he was referred to another institution for chemotherapy.Outcomes:Normal biopsy did not give a definitive pathological diagnosis, and final diagnosis of LP was obtained with EUS-FNA.Lessons:We expect that EUS-FNA can be utilized as a relatively non-invasive, highly sensitive, and specific pathological diagnostic procedure for advanced gastric LP. EUS-FNA should be considered as one way to obtain a deep tissue biopsy of advanced gastric LP.

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Section: Discussionmentioning

confidence: 99%

A case report of gastric linitis plastica diagnosed by endoscopic ultrasound-guided fine needle aspiration

Muraoka

Tsuchida²,

Iwasaki³

et al. 2017

Medicine

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show abstract

“…Since missed diagnosis adversely affects the treatment and prognosis of patients, the development of diagnostic modalities other than the conventional endoscopic biopsy is warranted. To date, several alternative diagnostic techniques, such as percutaneous fine-needle aspiration (FNA) biopsy [16,17], endoscopic mucosal resection (EMR) [18,19], endoscopic submucosal dissection (ESD) [20], and endoscopic ultrasound (EUS)-guided FNA biopsy [21][22][23] have been described in case reports and a small number of case series. However, there is no universal consensus on alternative approaches for GLP diagnosis in patients with negative standard endoscopic biopsy results.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Value of EUS-Guided Fine-Needle Aspiration Biopsy for Gastric Linitis Plastica with Negative Endoscopic Biopsy

Takada

Minaga

Hara

et al. 2021

JCM

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Due to the tendency of gastric linitis plastica (GLP) to cause extensive submucosal infiltration, a superficial endoscopic biopsy sometimes yields no evidence of malignancy, hindering definite diagnosis. The present study was a single-center retrospective analysis of 54 consecutive patients diagnosed with GLP between 2016 and 2020 to evaluate EUS-guided fine-needle aspiration (EUS-FNA) biopsy outcomes in patients with negative endoscopic biopsy findings. A pathological GLP diagnosis was achieved by endoscopic biopsy in 40 patients (74.1%). EUS-FNA biopsy with a 22-gauge needle was performed in 13 of the remaining 14 patients, and GLP diagnosis was confirmed in 10 patients, with a median of three needle passes. The remaining four patients were laparoscopically diagnosed with GLP. The diagnostic ability of EUS-FNA biopsy for GLP was 76.9%, and EUS-FNA biopsy contributed to GLP diagnosis in 18.5% (10/54) of all cases. None of the 13 patients exhibited EUS-FNA biopsy-related adverse events. Univariable and multivariable analyses revealed an absence of superficial ulcerations as a predictor of false-negative endoscopic biopsy findings in patients with GLP. These results suggest EUS-FNA biopsy as a minimally invasive and safe alternative diagnostic modality for GLP in cases where conventional endoscopic biopsy fails to verify malignancy, although prospective studies with larger cohorts are warranted to confirm these findings.

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Endoscopic Mucosal Resection Using a Cap‐fitted Panendoscope as a Diagnostic Procedure in a Case of Scirrhous Gastric Carcinoma

Cited by 2 publications

References 5 publications

A case report of gastric linitis plastica diagnosed by endoscopic ultrasound-guided fine needle aspiration

A case report of gastric linitis plastica diagnosed by endoscopic ultrasound-guided fine needle aspiration

Diagnostic Value of EUS-Guided Fine-Needle Aspiration Biopsy for Gastric Linitis Plastica with Negative Endoscopic Biopsy

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