Underwater endoscopic mucosal resection of a follicular lymphoma: A case report |
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| Authors: | Tae Un Kim Su Jin Kim Cheol Woong Choi |
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| Affiliation: | aDepartment of Radiology Yangsan, Korea;bDepartment of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea. |
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| Abstract: | Introduction:Endoscopic resection of a follicular lymphoma (FL) presenting as a gastric subepithelial tumor (SET), along with periodic follow up can be a treatment option because gastrointestinal FL cells tend to reside in the primary site, which may explain its indolent nature.Patient concerns:A gastric lesion was found incidentally during a screening endoscopy in 73-year-old woman without any gastrointestinal symptom.Diagnosis:The patient was diagnosed with a grade I FL that was 1.4 cm large, at the greater curvature of lower-body.Intervention:We performed underwater endoscopic mucosal resection (UW-EMR), and there was no serious complication, such as bleeding and perforation.Outcomes:Complete en bloc resection was achieved with UW-EMR. Follow-up endoscopic biopsy after 3 months revealed no residual tumor on the resection site.Conclusion:UW-EMR may be a simple and safe resection method for gastric FL without metastases, that measure >1 cm. |
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| Keywords: | Endoscopic mucosal resection Gastric neoplasm Lymphoma |
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