Gastric intramucosal adenocarcinoma with an invasive micropapillary carcinoma component

Clin J Gastroenterol. 2015 Feb;8(1):14-7. doi: 10.1007/s12328-014-0541-z. Epub 2014 Nov 29.

Abstract

A 70-year-old woman was referred to our hospital because of early gastric cancer (lesser curvature of the antrum, 0-IIc, tub1, 15 mm) and underwent endoscopic submucosal dissection. Microscopically, the lesion was found to be confined to the mucosa, and predominantly composed of well-differentiated tubular adenocarcinoma with a micropapillary component. On immunohistochemical examination, the characteristic "inside-out pattern" of the micropapillary component was observed; thus, we diagnosed the lesion as gastric cancer with a micropapillary component. Invasive micropapillary carcinoma is a rare subtype of gastric carcinoma, and, to our knowledge, this is the first case of invasive micropapillary carcinoma of the stomach confined to the mucosa.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology*
  • Adenocarcinoma / surgery
  • Adenocarcinoma, Papillary / pathology*
  • Adenocarcinoma, Papillary / surgery
  • Aged
  • Dissection
  • Female
  • Gastric Mucosa / pathology*
  • Gastric Mucosa / surgery
  • Gastroscopy
  • Humans
  • Neoplasm Invasiveness
  • Stomach Neoplasms / pathology*
  • Stomach Neoplasms / surgery