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Primary Gastric Small Cell Carcinoma (Presenting as Linitis Plastica) Diagnosed Using Endoscopic Ultrasound-Guided Biopsy: A Case Report
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Ra Ri Cha, Jin Kyu Cho, Wan Soo Kim, Jin Joo Kim, Jae Min Lee, Sang Soo Lee, Hyun Jin Kim
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Clin Endosc 2019;52(3):278-282. Published online October 5, 2018
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DOI: https://doi.org/10.5946/ce.2018.114
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Abstract
PDFPubReaderePub
- Small cell carcinomas are the most aggressive, highly malignant neuroendocrine tumors; among these, gastric small cell carcinoma (GSCC) is extremely rare. Here we report a case of a patient with primary GSCC, presenting as linitis plastic, who was diagnosed using endoscopic ultrasound (EUS)-guided biopsy. With undiagnosed linitis plastica, an 80-year-old woman was referred to our institution. Abdominal computed tomography revealed irregular wall thickening extending from the gastric body to the antrum. Endoscopy suspected to have Borrmann type IV advanced gastric cancer. EUS of the stomach showed diffuse submucosal thickening of the gastric wall, mainly the antrum. EUS-guided bite-on-bite biopsy confirmed the diagnosis of GSCC. In general, GSCC is difficult to diagnose and careful examination is necessary to determine the therapeutic strategy; however, EUS is particularly helpful in the differential diagnosis of a lesion presenting as linitis plastica.
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Citations
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- An online tool for survival prediction of extrapulmonary small cell carcinoma with random forest
Xin Zhang Frontiers in Oncology.2023;[Epub] CrossRef - Gastric linitis plastica due to signet-ring cell carcinoma with Krukenberg tumors diagnosed by endoscopic ultrasound-guided fine-needle aspiration
Takeshi Okamoto, Hidekazu Suzuki, Katsuyuki Fukuda Clinical Journal of Gastroenterology.2021; 14(4): 994. CrossRef - A case report of advanced gastric small cell carcinoma with neoadjuvant chemotherapy followed by radical total gastrectomy
Bing Wang, Nanlin Jiao, Lianghui Shi Asian Journal of Surgery.2020; 43(12): 1205. CrossRef
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A Randomized Controlled Clinical Study Comparing the Diagnostic Accuracy of the Histologic Prediction for Colorectal Polyps Depending on the Use of Either Magnified or Nonmagnified Narrow Band Imaging
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Jin Joo Kim, Kyoung Sup Hong, Joo Sung Kim, Hyun Chae Jung
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Clin Endosc 2015;48(6):528-533. Published online November 30, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.6.528
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Abstract
PDFPubReaderePub
- Background
/Aims: The aim of this study was to compare the diagnostic capabilities of narrow band imaging (NBI) colonoscopy with and without optical magnification in differentiating neoplastic from nonneoplastic colorectal polyps.
Methods Between April 2012 and March 2013, 122 patients with colorectal polyps detected by using diagnostic conventional colonoscopy were prospectively enrolled. A total of 236 polyps were evaluated with NBI, in vivo in real time during therapeutic colonoscopy, by one experienced endoscopist. Whether magnification was used or not was determined by randomization. After an in vivo real-time endoscopic prediction of histology, all lesions were endoscopically excised. Surgical pathologic reports were used as the criterion standards. The sensitivity (Sn), specificity (Sp), positive predictive value (PPV), and negative predictive value (NPV) of identifying neoplastic polyps were calculated.
Results A total of 236 lesions with an average size of 5.6 mm in 122 patients were assessed (159 neoplastic, 77 nonneoplastic). The Sn, Sp, PPV, and NPV in differentiating neoplastic from nonneoplastic lesions with the magnified NBI were 97.5%, 83.3%, 94.0%, and 92.6%, respectively, whereas those of the nonmagnified NBI group were 97.5%, 85.1%, 91.7%, and 95.2%, respectively.
Conclusions Nonmagnified NBI colonoscopy distinguishes neoplastic from nonneoplastic colorectal polyps as accurately as does magnified NBI colonoscopy.
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Citations
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- Utility of the narrow-band imaging international colorectal endoscopic classification for optical diagnosis of colorectal polyp histology in clinical practice: a retrospective study
Yasuhiko Hamada, Kyosuke Tanaka, Masaki Katsurahara, Noriyuki Horiki, Reiko Yamada, Tomomi Yamada, Yoshiyuki Takei BMC Gastroenterology.2021;[Epub] CrossRef - Feasibility of using narrow band imaging international colorectal endoscopic classification for diagnosing colorectal neoplasia in China: A multicenter pilot observational study
Qing Wei Zhang, Jing Jing Zhang, Ai Ming Yang, Jian Qiu Sheng, Yu Lan Liu, Zhao Shen Li, Hai Ying Chen, Nan Feng, Qing Wei Jiang, Peng Jin, Li Ming Zhang, Hong Yu Fu, Yun Jie Gao, Zhi Zheng Ge, Xiao Bo Li Journal of Digestive Diseases.2020; 21(2): 88. CrossRef - Narrow-Band Imaging: Clinical Application in Gastrointestinal Endoscopy
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Yi-Quan Xiong, Shu-Juan Ma, Hao-Yue Hu, Jing Ge, Li-Zhi Zhou, Shu-Ting Huo, Min Qiu, Qing Chen Clinics and Research in Hepatology and Gastroenterology.2018; 42(1): 31. CrossRef - Endoscopic classification for colorectal tumors using narrow‐band imaging
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Naoki Muguruma, Tetsuji Takayama Clinical Endoscopy.2015; 48(6): 461. CrossRef
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