Gastric cancer of "Crawling type" detected by additional gastrectomy after endoscopic submucosal resection

Yasuhiro Haruta, Ryota Nakanishi, Tomoko Jogo, Yuichiro Nakashima, Hiroshi Saeki, O. K.I. Eiji, Minako Fujiwara, O. D.A. Yoshinao, Yoshihiko Maehara

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


“Crawling type” gastric cancer (GC) is known as a rare variant of early GCs, which is difficult to diagnose at an early stage because of low-grade nuclear atypia and a morphology mimicking intestinal metaplasia. This is a case report of a 69-year-old woman who was diagnosed with early-stage gastric cancer. She had endoscopic submucosal resection (ESD) and histologically, both horizontal and vertical margins were negative. Seven months after ESD, a new lesion of the stomach was detected by follow-up gastroscopy. Laparoscopic distal gastrectomy was performed and “crawling type” glands were observed throughout the whole area of the tumor. We should keep this variant in mind, especially when a tumor is superficial depressed or superficial flat type in the middle of the stomach. Careful observation with multiple biopsies of all mucosal layer and a re-biopsy is the key procedure for obtaining the right diagnosis. Endoscopic and histological characteristics should also be reviewed.

Original languageEnglish
Pages (from-to)2335-2338
Number of pages4
JournalAnticancer research
Issue number4
Publication statusPublished - Apr 2018

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research


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