Diagnosis of Linitis Plastica–Type Gastric Adenocarcinoma by Endoscopic Ultrasound-Guided Fine Needle Aspiration

Carter, J Elliot; Nelson, John J.; Eves, Matthew; Boudreaux, Carole

doi:10.1159/000325630

Cited by 15 publications

(11 citation statements)

References 5 publications

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“…Bei Patienten mit Magenwandverdickung in der Computertomografie ist ein pathologisches Ergebnis der Endosonografie nur dann zu erwarten, wenn auch der endoskopische Magenbefund pathologisch ist [259]. Bleiben bei Patienten mit hochgradigem klinischem Verdacht auf ein Magenkarzinom und endosonografisch nachgewiesener Magenwandverdickung endoskopische Biopsien wiederholt ohne erklärenden Befund, kann die endosonografische oder endosonografisch assistierte Biopsie der Magenwand oder von pathologischen Lymphknoten zur Diagnosesicherung herangezogen werden [260][261][262][263][264][265][266][267].…”

Section: Hintergrundunclassified

S3-Leitlinie Magenkarzinom – Diagnostik und Therapie der Adenokarzinome des Magens und des ösophagogastralen Übergangs – Langversion 2.0 – August 2019. AWMF-Registernummer: 032/009OL

Moehler¹,

Al-Batran²,

Andus³

et al. 2019

Z Gastroenterol

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Section: Hintergrundunclassified

S3-Leitlinie Magenkarzinom – Diagnostik und Therapie der Adenokarzinome des Magens und des ösophagogastralen Übergangs – Langversion 2.0 – August 2019. AWMF-Registernummer: 032/009OL

Moehler¹,

Al-Batran²,

Andus³

et al. 2019

Z Gastroenterol

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“…Unfortunately, acquiring samples blindly often provides inadequate histological material. A recent case report suggested that EUS-FNA is appropriate for the diagnosis of LP owing to its ability to sample deep submucosal lesions [16]. Although EUS-FNA, which has emerged as a standard method for sampling submucosal and pancreatic tumors, has the advantages of being rapid and convenient, appropriate tissue samples can occasionally not be acquired due to too little material and technical issues [17].…”

Section: Discussionmentioning

confidence: 99%

Submucosal Endoscopic Sampling for Indefinite Gastric Linitis Plastica Infiltrating into the Submucosal Layer

Chiyo

Kobara

Mori

et al. 2015

JGLD

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The diagnosis of diffuse-type gastric cancer, named linitis plastica (LP), is difficult because of its infiltration into the submucosa. Conventional endoscopic biopsy sampling may show false-negative results because the superficial mucosa is often normal. These macroscopic features do not often permit the distinction between benign and malignant lesions, and sampling methods have some limitations. Accordingly, a secure sampling method is required in order to increase the diagnostic yield. We have developed a submucosal tunneling technique for sampling submucosal tumors, which can visualize tumor surfaces and obtain tissue samples under direct vision. We report a rare case of indefinite gastric LP that could be diagnosed by this method. As multiple biopsies and endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) did not help us histologically diagnose the lesion, our new method of submucosal endoscopy which has advantages of visualizing tumor surfaces and obtaining tissue samples under direct vision in the submucosa was introduced. Histological examination of all acquired samples confirmed the presence of a poorly differentiated adenocarcinoma. The present case demonstrates that this method is a reasonable option for indefinite LP with features inflating into submucosa, providing an update on the contemporary concepts.

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“…Bu durum akut veya kronik gastrit olarak yorumlanabilir. İncelemede genişlemiş mide kıvrımları saptanması önemli bir bulgudur.. rasyon biyopsisi, anaplastik bir neoplazmın gösterge-si olan bol miktarda serbest malign hücrelerin tespit edilmesini kolaylaştırır (7,17) .…”

Section: Taniunclassified

“…Musküler tabaka ya da subserozada görülebilse de tipik stromal reaksiyon submukozal tabakada belirgindir (14) . Endoskopik biyopsilerde %30'lara varan oranda yanlış negatif sonuçlar olabilir (17) . Hatta Shan ve ark.…”

Section: Endosonografi (Eus) Rehberliğinde Ince Iğne Aspi-unclassified

Diffuse Gastric Adenocarcinoma-Linitis Plastica

Kaya¹,

Velidedeoğlu²,

Şener³

et al. 2015

IKSST

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Diagnosis of Linitis Plastica–Type Gastric Adenocarcinoma by Endoscopic Ultrasound-Guided Fine Needle Aspiration

Cited by 15 publications

References 5 publications

S3-Leitlinie Magenkarzinom – Diagnostik und Therapie der Adenokarzinome des Magens und des ösophagogastralen Übergangs – Langversion 2.0 – August 2019. AWMF-Registernummer: 032/009OL

S3-Leitlinie Magenkarzinom – Diagnostik und Therapie der Adenokarzinome des Magens und des ösophagogastralen Übergangs – Langversion 2.0 – August 2019. AWMF-Registernummer: 032/009OL

Submucosal Endoscopic Sampling for Indefinite Gastric Linitis Plastica Infiltrating into the Submucosal Layer

Diffuse Gastric Adenocarcinoma-Linitis Plastica

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