Clinical pathological characteristics of“crawling-type”gastric adenocarcinoma cancer:A case report  

作　　者：Yong-Wei Xu Yan Song Jun Tian Ba-Cui Zhang Yu-Sheng Yang Jing Wang 

机构地区：[1]Department of Gastroenterology,Songjiang Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 201600,China [2]Department of Pathology,Songjiang Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 201600,China

出　　处：《World Journal of Gastrointestinal Oncology》2024年第4期1660-1667,共8页世界胃肠肿瘤学杂志（英文版）（电子版）

基　　金：Supported by the Songjiang District Tackling Key Science and Technology Research Projects,No.20sjkjgg32;Excellent Young Talents Training Program of Songjiang Hospital Affiliated with Shanghai Jiao Tong University School of Medicine,No.QNRC-004;Science and Technology project of Songjiang District,No.22SJKJGG81.

摘　　要：BACKGROUND Gastric cancer(GC)is a significant health problem worldwide,and early detection and accurate diagnosis are crucial for improving patient outcomes.Crawling-type gastric adenocarcinoma is a rare subtype of GC that has unique histopathological and clinical characteristics,and its diagnosis and management can be challenging.This pathological type of GC is also rare.CASE SUMMARY Here,we report the case of a patient who underwent ordinary endoscopy,na-rrow-band imaging,and endoscopic ultrasonography intending to determine the extent of tumor invasion and upper abdominal enhanced computed tomography and whether there was tumor metastasis.Then,endoscopic submucosal dissection was performed.After pathological and immunohistochemical examination,the pathological diagnosis was crawling-type gastric adenocarcinoma.This is a very rare and special pathological type of tumor.This case highlights the importance of using advanced endoscopic techniques and pathological examination in diagnosing and managing gastric crawling-type adenocarcinoma.Moreover,the findings underscore the need for continued research and clinical experience in this rare subtype of GC to improve patient outcomes.CONCLUSION The“crawling-type”GC is a rare and specific tumor pathology.It is difficult to identify and diagnose gliomas via endoscopy.The tumor is ill-defined,with a flat appearance and indistinct borders due to the lack of contrast against the background mucosa.Pathology revealed that the tumor cells were hand-like,so the patient has diagnosed with“crawling-type”gastric adenocarcinoma.

关 键 词：CLINICOPATHOLOGICAL Crawling-type gastric Pathology Gastric cancer Gastric adenocarcinoma cancer Case report 

分 类 号：R735.37[医药卫生—肿瘤]