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

ABSTRACT: 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 T 

PROVIDER: S-EPMC8556042 | biostudies-literature |

REPOSITORIES: biostudies-literature