Endoscopic ultrasound‐guided fine‐needle biopsy for the diagnosis of gastric linitis plastica

Takahashi, Kosuke; Yasuda, Ichiro; Hanaoka, Tatsuyuki; Hayashi, Yuka; Araki, Yoshihiro; Motoo, Iori; Kajiura, Shinya; Ando, Takayuki; Fujinami, Haruka; Tajiri, Kazuto; Minemura, Masami; Takahara, Taro

doi:10.1002/deo2.38

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Adequate specimens to evaluate malignancy are difficult to obtain from submucosa lesions, including GLP. As deep endoscopic biopsy techniques, endoscopic mucosal resection (EMR), bite-on-bite techniques, mucosal incision-assisted biopsies, and EUS-FNBs are used[ 13 ]. Although the European Society of Gastrointestinal Endoscopy recommends a MIAB or EUS-FNB for the tissue diagnosis of subepithelial lesions, including gastrointestinal stromal tumor (GIST)[ 14 ], there is no standard method for making a tissue diagnosis of GLP.…”

Section: Discussionmentioning

confidence: 99%

“…Although the European Society of Gastrointestinal Endoscopy recommends a MIAB or EUS-FNB for the tissue diagnosis of subepithelial lesions, including gastrointestinal stromal tumor (GIST)[ 14 ], there is no standard method for making a tissue diagnosis of GLP. In the previous articles, an EUS-FNB for GLP cases with a negative endoscopic biopsy was reported to be useful in that EUS could directly visualize whether or not the target had been punctured properly, and the positive rates were high with few adverse events (Table 2 )[ 13 , 15 - 17 ]. However, Zhou et al [ 18 ] conversely reported that the diagnostic yield of EMR with the bite-on-bite technique for gastric-infiltrating tumors, including GLP, was 82.2% (23/28).…”

Section: Discussionmentioning

confidence: 99%

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Gastric linitis plastica with autoimmune pancreatitis diagnosed by an endoscopic ultrasonography-guided fine-needle biopsy: A case report

Sato¹,

Matsumoto²,

Kanzaki³

et al. 2022

World J Clin Cases

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BACKGROUND Gastric linitis plastica (GLP) is a subset of gastric cancer with a poor prognosis. It is difficult to obtain a definitive diagnosis by endoscopic mucosal biopsies, and the usefulness of an endoscopic ultrasonography-guided fine-needle biopsy (EUS-FNB) for GLP has been recently reported. Meanwhile, autoimmune diseases are occasionally known to coexist with malignant tumors as paraneoplastic syndrome. We herein report the usefulness of an EUS-FNB for detecting GLP and the possibility of paraneoplastic syndrome coexisting with GLP. CASE SUMMARY An 81-year-old man was admitted to our hospital for a 1-mo history of epigastric pain that increased after eating. His laboratory data revealed high levels of serum carbohydrate antigen 19-9 and immunoglobulin-G4. Endoscopic examinations showed giant gastric folds and reddish mucosa; however, no epithelial changes were observed. The gastric lumen was not distensible by air inflation, suggesting GLP. Computed tomography showed the thickened gastric wall, the diffuse enlargement of the pancreas, and the peripancreatic rim, which suggested autoimmune pancreatitis (AIP) coexisting with GLP. Because the pathological findings of the endoscopic biopsy showed no malignancy, he underwent an EUS-FNB and was diagnosed with GLP. He received chemotherapy for unresectable gastric cancer due to peritoneal metastasis, after which both the gastric wall thickening and diffuse enlargement of the pancreas were improved. CONCLUSION An EUS-FNB for GLP with a negative endoscopic biopsy is useful, and AIP may develop as a paraneoplastic syndrome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Gastric linitis plastica with autoimmune pancreatitis diagnosed by an endoscopic ultrasonography-guided fine-needle biopsy: A case report

Sato¹,

Matsumoto²,

Kanzaki³

et al. 2022

World J Clin Cases

View full text Add to dashboard Cite

show abstract

“…Takahashi et al reported two patients with GLP, in which EUS-FNB with a Franseen needle was used to successfully perform immunological staining and confirm diagnosis after a failed conventional endoscopic biopsy. 8 Currently, 19-gauge, 22gauge, and 25-gauge Franseen needles are available. In general, finer needles are more flexible and easier for puncturing; whereas, they tend to obtain a smaller sample.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound‐guided fine‐needle biopsy for the diagnosis of gastric metastasis from breast cancer mimicking primary linitis plastica: A case report

et al. 2022

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For gastric lesions in a patient with a history of breast cancer, it is essential to distinguish between primary gastric cancer and gastric metastasis from breast cancer. However, gastric metastasis from breast cancer often mimics primary linitis plastica, and histological diagnosis may be difficult with conventional endoscopic biopsies. Herein, we describe the case of a 75-yearold woman who presented at our hospital with epigastralgia and vomiting. She had a history of mastectomy for carcinoma of the right breast and had received hormone therapy as adjuvant therapy. Computed tomography at arrival showed thickening of the gastric wall at the antrum and peritoneal dissemination. Esophagogastroduodenoscopy showed mucosal swelling of the antrum and stenosis of the pylorus, and histological diagnosis failed with conventional endoscopic biopsies.Endoscopic ultrasound-guided fine-needle biopsy using a Franseen needle was performed, and a diagnosis of gastric metastasis from breast cancer was made. She received hormone therapy and chemotherapy after deployment of a metallic stent for gastric outlet obstruction. To the best of our knowledge, this is the first case of gastric metastasis from breast cancer diagnosed using endoscopic ultrasound-guided fineneedle biopsy.

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Rectal linitis plastica as the first presentation of metastatic lobular breast cancer: an endoscopic ultrasound diagnosis

Mazza

Laurenza

Elvo

et al. 2022

Clin J Gastroenterol

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Endoscopic ultrasound‐guided fine‐needle biopsy for the diagnosis of gastric linitis plastica

Cited by 3 publications

References 11 publications

Gastric linitis plastica with autoimmune pancreatitis diagnosed by an endoscopic ultrasonography-guided fine-needle biopsy: A case report

Gastric linitis plastica with autoimmune pancreatitis diagnosed by an endoscopic ultrasonography-guided fine-needle biopsy: A case report

Endoscopic ultrasound‐guided fine‐needle biopsy for the diagnosis of gastric metastasis from breast cancer mimicking primary linitis plastica: A case report

Rectal linitis plastica as the first presentation of metastatic lobular breast cancer: an endoscopic ultrasound diagnosis

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