Case Report
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World J Gastroenterol. Aug 14, 2013; 19(30): 5016-5020
Published online Aug 14, 2013. doi: 10.3748/wjg.v19.i30.5016
Bone metastasis from early gastric cancer following non-curative endoscopic submucosal dissection
Hiroyuki Kawabata, Ichiro Oda, Haruhisa Suzuki, Satoru Nonaka, Shigetaka Yoshinaga, Hitoshi Katai, Hirokazu Taniguchi, Ryoji Kushima, Yutaka Saito
Hiroyuki Kawabata, Ichiro Oda, Haruhisa Suzuki, Satoru Nonaka, Shigetaka Yoshinaga, Yutaka Saito, Endoscopy Division, National Cancer Center Hospital, Tokyo 104-0045, Japan
Hiroyuki Kawabata, Department of Internal Medicine, Saiseikai Matsusaka General Hospital, Mie 515-8557, Japan
Hitoshi Katai, Gastric Surgery Division, National Cancer Center Hospital, Tokyo 104-0045, Japan
Hirokazu Taniguchi, Ryoji Kushima, Pathology Division, National Cancer Center Hospital, Tokyo 104-0045, Japan
Author contributions: Kawabata H and Oda I wrote the manuscript; Suzuki H, Nonaka S, Yoshinaga S, Katai H, Taniguchi H, Kushima R and Saito Y contributed the discussion and reviewed the manuscript; all authors approved the final manuscript.
Correspondence to: Ichiro Oda, MD, Endoscopy Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan. ioda@ncc.go.jp
Telephone: +81-3-35422511 Fax: +81-3-35423815
Received: March 22, 2013
Revised: May 14, 2013
Accepted: June 1, 2013
Published online: August 14, 2013
Core Tip

Core tip: This case report provides the first description of an adult male with bone metastasis from early gastric cancer following an eight-year disease-free interval after endoscopic submucosal dissection (ESD). Although the original tumor was confined to the mucosa, with no evidence of lymphovascular involvement, the ESD was regarded as a non-curative resection based upon the tumor’s histological type and size, and existence of an ulcer finding. If any patient, who is otherwise fit, initially refuses surgery and requests a contraindicated ESD, efforts should be made to persuade the patient to undergo a gastrectomy with lymph-node dissection.