ENDOSCOPIC SUBMUCOSAL DISSECTION IN A PATIENT WITH EARLY GASTRIC CARCINOMA – CLINICAL CASE REPORT

Abstract

Early gastric cancer is a challenging entity for the endoscopist due to the difficult detection. By definition, it is limited to the mucosa and has minimal risk for lymphonodular metastasis, hence endoscopic submucosal dissection (ESD) is the most appropriate treatment for this disorder. However, this technique is difficult, can be accompanied by complications, therefore special skills and experience are required from the performers. We present a case of a 60-year-old female patient with a previously diagnosed 2 cm lesion, located in the gastric antrum, with histology showing early cancer – T1aN0M0. The latter was completely removed by ESD and the periprocedural bleeding that occurred was successfully managed. The histological assessment of the specimen revealed severe dysplasia with absence of submucosal involvement, meaning that R0-resection was achieved.