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

ABSTRACT:

Introduction

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.

Patient concerns

A gastric lesion was found incidentally during a screening endoscopy in 73-year-old woman without any gastrointestinal symptom.

Diagnosis

The patient was diagnosed with a grade I FL that was 1.4 cm large, at the greater curvature of lower-body.

Intervention

We performed underwater endoscopic mucosal resection (UW-EMR), and there was no serious complication, such as bleeding and perforation.

Outcomes

Complete en bloc resection was achieved with UW-EMR. Follow-up endoscopic biopsy after 3 months revealed no residual tumor on the resection site.

Conclusion

UW-EMR may be a simple and safe resection method for gastric FL without metastases, that measure >1 cm.

SUBMITTER: Kim TU

PROVIDER: S-EPMC8556042 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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

Kim Tae Un TU Kim Su Jin SJ Choi Cheol Woong CW

Medicine 20211001 43

<h4>Introduction</h4>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.<h4>Patient concerns</h4>A gastric lesion was found incidentally during a screening endoscopy in 73-year-old woman without any gastrointestinal symptom.<h4>Diagnosis</h4>The patient was diagnosed with a grade I FL ...[more]

PMID: 34713841

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