Yang JC, Chen LX, Hu B. Managing crawling-type gastric adenocarcinoma with endoscopic techniques and postoperative monitoring. World J Gastroenterol 2024; 30(43): 4657-4659 [DOI: 10.3748/wjg.v30.i43.4657]
Corresponding Author of This Article
Bing Hu, MD, Editor-in-Chief, Professor, Department of Gastroenterology and Hepatology/Medical Engineering Integration Laboratory of Digestive Endoscopy, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu 610041, Sichuan Province, China. hubing@wchscu.edu.cn
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Nov 21, 2024; 30(43): 4657-4659 Published online Nov 21, 2024. doi: 10.3748/wjg.v30.i43.4657
Managing crawling-type gastric adenocarcinoma with endoscopic techniques and postoperative monitoring
Jia-Chen Yang, Liu-Xiang Chen, Bing Hu
Jia-Chen Yang, Department of Gastroenterology and Hepatology/Digestive Endoscopy Medical Engineering Research Laboratory, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Liu-Xiang Chen, Bing Hu, Department of Gastroenterology and Hepatology/Medical Engineering Integration Laboratory of Digestive Endoscopy, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Yang JC drafted the manuscript; Chen LX and Hu B revised the manuscript; all authors have read and approved the final manuscript.
Conflict-of-interest statement: The authors declare that there is no conflict of interest regarding the publication of this manuscript. No financial or personal relationships exist that could have appeared to influence the work reported in this paper.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bing Hu, MD, Editor-in-Chief, Professor, Department of Gastroenterology and Hepatology/Medical Engineering Integration Laboratory of Digestive Endoscopy, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu 610041, Sichuan Province, China. hubing@wchscu.edu.cn
Received: March 21, 2024 Revised: September 10, 2024 Accepted: October 12, 2024 Published online: November 21, 2024 Processing time: 224 Days and 1.8 Hours
Abstract
Crawling-type gastric adenocarcinoma is a rare subtype of gastric cancer with diagnostic and therapeutic challenges due to its flat, ill-defined lesions. Advanced diagnostic techniques, such as narrow-band imaging and linear endoscopic ultrasonography, improve detection, but endoscopic submucosal dissection poses a risk of incomplete resection. Despite negative resection margins, vigilant postoperative monitoring is crucial due to the potential for recurrence. This letter highlights the importance of refined diagnostic criteria, individualized treatment approaches, and continuous follow-up to optimize management of this unique gastric cancer subtype.
Core Tip: Crawling-type gastric adenocarcinoma is a rare subtype of gastric cancer with diagnostic challenges due to its flat, ill-defined appearance. Advanced endoscopic techniques like narrow-band imaging and endoscopic ultrasonography are critical for accurate detection. Despite negative resection margins, the potential for recurrence highlights the need for vigilant postoperative monitoring. Multiple biopsies across mucosal layers and re-biopsies can aid in achieving a more precise diagnosis, optimizing management, and improving patient outcomes.
