Nidal İflazoğlu, Kıvılcım Eren Erdoğan, Ali Duran, Özgül Düzgün, Figen Doran, Cem Kaan Parsak

İntramukozal yerleşimli taşlı yüzük hücreli mide kanserinde lenfatik metastaz

Erken mide kanserleri lenf nodu metastazı durumuna bakılmaksızın midenin mukoza ve submukozasına sınırlı tümör olarak tanımlanmaktadır. Erken mide kanseri, mukoza tabakasına sınırlı ise, lenf nodu metastazı nadiren görülür. Taşlı yüzük hücreli histolojide ve 2 cm’den küçük intramukozal mide tümörlerinde lenf nodu metastazı daha da nadirdir. Bu yazıda mukoza tabakasına sınırlı ve lenf nodu metastazlı taşlı yüzük hücreli kanser olgusu sunulmaktadır. Mukozaya sınırlı mide tümörlerinde, taşlı yüzük hücreli histolojide, lenf nodu metastazı oranı düşük ancak olasıdır. Preoperatif evreleme araçları ile invazyon derinliğinin ve lenf nodu metastazının saptanması seçilecek cerrahi tedavi protokolünde belirleyicidir.

Lymphatic metastasis of signet ring cell gastric carcinoma located on mucosa layer

Early gastric cancer is described as tumors limited to mucosa and submucosa layers regardless of lymphatic metastasis. If early gastric cancer is limited to mucosa layer, metastasis of lymph node would be seen rarely. Further if intramucosal gastric tumors have signet ring cell histology and a size smaller than 2 cm, then lymph node metastasis are even rarer. In this paper we present a case that have signet ring cell gastric cancer limited to mucosa layer and had lymph node metastasis. It is decisive to evaluate depth of invasion and lymph node metastasis with preoperative tools to choose surgical treatment protocol.

Keywords:

early gastric cancer, signet ring cell, metastasis.,

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