Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the Literature

We report a case of a 40-year-old female who presented with dyspeptic symptoms for six months. Upper GI endoscopy revealed a submucosal nodule in gastric antrum. Using “jumbo biopsy unroofing technique” we were able to get adequate tissue for analysis. Histopathology revealed a type III gastric carc...

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Main Authors: Sakshi Kapur, Pradeep Mahal, Levin Miles, Adnan Hussain
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2013/414518
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author Sakshi Kapur
Pradeep Mahal
Levin Miles
Adnan Hussain
author_facet Sakshi Kapur
Pradeep Mahal
Levin Miles
Adnan Hussain
author_sort Sakshi Kapur
collection DOAJ
description We report a case of a 40-year-old female who presented with dyspeptic symptoms for six months. Upper GI endoscopy revealed a submucosal nodule in gastric antrum. Using “jumbo biopsy unroofing technique” we were able to get adequate tissue for analysis. Histopathology revealed a type III gastric carcinoid. Patient was treated with laparoscopic distal subtotal gastrectomy with Roux-en-Y reconstruction and partial omentectomy. Although there was no evidence of metastasis on initial presentation, eighteen months later, patient was found to have multiple metastatic lesions in her liver. Patient’s lesions were treated with intra-arterial (hepatic artery) Yttrium-90.
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series Case Reports in Oncological Medicine
spelling doaj-art-7f3be2f95ead4577bcb40e1b4e756d842025-08-20T03:35:40ZengWileyCase Reports in Oncological Medicine2090-67062090-67142013-01-01201310.1155/2013/414518414518Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the LiteratureSakshi Kapur0Pradeep Mahal1Levin Miles2Adnan Hussain3Department of Internal Medicine, Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07902, USADivision of Gastroenterology, Overlook Medical Center, Summit, NJ 07902, USADivision of Pathology, Overlook Medical Center, Summit, NJ 07902, USADepartment of Internal Medicine, Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07902, USAWe report a case of a 40-year-old female who presented with dyspeptic symptoms for six months. Upper GI endoscopy revealed a submucosal nodule in gastric antrum. Using “jumbo biopsy unroofing technique” we were able to get adequate tissue for analysis. Histopathology revealed a type III gastric carcinoid. Patient was treated with laparoscopic distal subtotal gastrectomy with Roux-en-Y reconstruction and partial omentectomy. Although there was no evidence of metastasis on initial presentation, eighteen months later, patient was found to have multiple metastatic lesions in her liver. Patient’s lesions were treated with intra-arterial (hepatic artery) Yttrium-90.http://dx.doi.org/10.1155/2013/414518
spellingShingle Sakshi Kapur
Pradeep Mahal
Levin Miles
Adnan Hussain
Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the Literature
Case Reports in Oncological Medicine
title Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the Literature
title_full Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the Literature
title_fullStr Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the Literature
title_full_unstemmed Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the Literature
title_short Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the Literature
title_sort diagnosing a gastric submucosal tumor using jumbo biopsy unroofing technique a case report and review of the literature
url http://dx.doi.org/10.1155/2013/414518
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