Underwater endoscopic mucosal resection of a follicular lymphoma: A case report

Endoscopic resection of a follicular lymphoma (FL) presenting as a gastric subepithelial tumor (SET), along with periodic follow up can be a treatment option because gastrointestinal FL cells tend to reside in the primary site, which may explain its indolent nature. A gastric lesion was found incide...

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Bibliographic Details
Published in:Medicine (Baltimore) 2021-10, Vol.100 (43), p.e27610-e27610
Main Authors: Kim, Tae Un, Kim, Su Jin, Choi, Cheol Woong
Format: Article
Language:English
Subjects:
Aged
Clinical Case Report
Endoscopic Mucosal Resection - methods
Female
Gastrointestinal Neoplasms - pathology
Gastrointestinal Neoplasms - surgery
Humans
Lymphoma, Follicular - pathology
Lymphoma, Follicular - surgery
Water
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Summary:Endoscopic resection of a follicular lymphoma (FL) presenting as a gastric subepithelial tumor (SET), along with periodic follow up can be a treatment option because gastrointestinal FL cells tend to reside in the primary site, which may explain its indolent nature. A gastric lesion was found incidentally during a screening endoscopy in 73-year-old woman without any gastrointestinal symptom. The patient was diagnosed with a grade I FL that was 1.4 cm large, at the greater curvature of lower-body. We performed underwater endoscopic mucosal resection (UW-EMR), and there was no serious complication, such as bleeding and perforation. Complete en bloc resection was achieved with UW-EMR. Follow-up endoscopic biopsy after 3 months revealed no residual tumor on the resection site. UW-EMR may be a simple and safe resection method for gastric FL without metastases, that measure >1 cm.
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000027610