Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 7, 2015; 21(33): 9803-9807
Published online Sep 7, 2015. doi: 10.3748/wjg.v21.i33.9803
Single skip metastasis in sentinel lymph node: In an early gastric cancer
Tivadar Bara Jr, Simona Gurzu, Ioan Jung, Zoltan Kadar, Haruhiko Sugimura, Tivadar Bara
Tivadar Bara, Tivadar Jr Bara, Department of Surgery, University of Medicine and Pharmacy, 540139 Tirgu-Mures, Romania
Simona Gurzu, Ioan Jung, Zoltan Kadar, Department of Pathology, University of Medicine and Pharmacy, 540139 Tirgu-Mures, Romania
Haruhiko Sugimura, Department of Tumor Pathology, Hamamatsu University, School of Medicine, Hamamatsu 433-8105, Japan
Author contributions: Bara T Jr wrote the manuscript and participated in the surgical intervention; Gurzu S carried out the study design and performed the histopatological assessment of surgical specimens; Jung I participated at the assessment of frozen sections and interpretation of the immunoassays; Kadar Z carried out the oncological management; Sugimura H carried out the molecular assessment and interpretation of data from the literature; Bara T carried out the surgical intervention and approved the final version of the manuscript; all authors read and approved the final manuscript.
Supported by Romanian government, the research project frame POSDRU/159/1.5/S/136893; and University of Medicine and Pharmacy of Tirgu-Mures, Romania, the team research project POS-UMFTGM-CC-13-01-V01, No. 15/16189/2013; In Japan, funds were obtained by grants from the Ministry of Health, Labour and Welfare (19-19, 10103838), and Ministry of Education, Culture, Sports, Science and Technology (MEXT) (S-001).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open-Access: 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/
Correspondence to: Simona Gurzu, Professor, MD, PhD, Department of Pathology, University of Medicine and Pharmacy, 38 Ghe Marinescu Street, 540139 Tirgu-Mures, Romania. simonagurzu@yahoo.com
Telephone: +40-745673550
Received: March 3, 2015
Peer-review started: March 5, 2015
First decision: April 13, 2015
Revised: April 21, 2015
Accepted: June 10, 2015
Article in press: June 10, 2015
Published online: September 7, 2015
Processing time: 188 Days and 13.8 Hours
Core Tip

Core tip: The aim of this paper was to report an unusual case of early gastric cancer in which sentinel node mapping totally changed the tumor staging and therapeutic protocol.