Kim TU, Kim SJ, Choi CW. Underwater endoscopic mucosal resection of a follicular lymphoma: A case report.
Medicine (Baltimore) 2021;
100:e27610. [PMID:
34713841 PMCID:
PMC8556042 DOI:
10.1097/md.0000000000027610]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Accepted: 10/13/2021] [Indexed: 01/05/2023] Open
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.
Collapse