Intramucosal Signet Ring Cell Gastric Cancer Diagnosed 15 Months after the Initial Endoscopic Examination
Keisuke Taniuchi1, Koji Ookawauchi2, Kento Kumon3
1Department of Gastroenterology, Shinmatsudakai Atago Hospital, Kochi 780-0051, Japan ; Department of Endoscopic Diagnostics and Therapeutics, Kochi Medical School, Kochi University, Nankoku 783-8505, Japan.
Abstract:
The size and shape of intramucosal signet ring gastric cancer in this case remained endoscopically unchanged for 15 months. Laparoscopy-assisted distal gastrectomy was performed, and immunohistochemical analysis revealed Ki-67 and p53 mutations to be negative in this case. Signet ring gastric cancer has long been thought to confer a worse prognosis than other forms of gastric cancer; however, our case did not progress to advanced gastric cancer for 15 months.
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