Lymph Node Recurrence after Endoscopic Resection of Early Gastric Cancer Previously Classified as eCura B

Abstract

A 63-year-old woman underwent endoscopic submucosal dissection for early gastric cancer. The lesion initially met the former eCura B criteria but was reclassified as eCura A under the updated Japanese guidelines, which do not recommend routine imaging follow-up. Nineteen months after curative resection, a solitary swollen lymph node was detected on computed tomography and metastasis was histopathologically confirmed. After chemotherapy, the patient underwent a total gastrectomy without residual carcinoma. While such recurrence is rare, this case suggests that clinicians should remain aware of the possibility of lymph node metastasis, even in lesions considered curative under the current criteria.

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BibTeX RIS

BibTeX

@article{akita2026lymph,
  title = {{Lymph Node Recurrence after Endoscopic Resection of Early Gastric Cancer Previously Classified as eCura B}},
  author = {Kotaro Akita and Shinji Yoshii and Takakazu Miyake and Tsukasa Yamakawa and Tomoe Kazama and Shintaro Sugita and Hiro-o Yamano and Hiroshi Nakase},
  journal = {Internal Medicine},
  year = {2026},
  month = aug,
  doi = {10.2169/internalmedicine.6409-25},
  url = {https://www.jstage.jst.go.jp/article/internalmedicine/65/15/65_6409-25/_article},
  note = {CC BY-NC-ND},
}

RIS

TY  - JOUR
TI  - Lymph Node Recurrence after Endoscopic Resection of Early Gastric Cancer Previously Classified as eCura B
AU  - Kotaro Akita
AU  - Shinji Yoshii
AU  - Takakazu Miyake
AU  - Tsukasa Yamakawa
AU  - Tomoe Kazama
AU  - Shintaro Sugita
AU  - Hiro-o Yamano
AU  - Hiroshi Nakase
PY  - 2026
DA  - 2026/08/01
JO  - Internal Medicine
DO  - 10.2169/internalmedicine.6409-25
UR  - https://www.jstage.jst.go.jp/article/internalmedicine/65/15/65_6409-25/_article
AB  - A 63-year-old woman underwent endoscopic submucosal dissection for early gastric cancer. The lesion initially met the former eCura B criteria but was reclassified as eCura A under the updated Japanese guidelines, which do not recommend routine imaging follow-up. Nineteen months after curative resection, a solitary swollen lymph node was detected on computed tomography and metastasis was histopathologically confirmed. After chemotherapy, the patient underwent a total gastrectomy without residual carcinoma. While such recurrence is rare, this case suggests that clinicians should remain aware of the possibility of lymph node metastasis, even in lesions considered curative under the current criteria.
SN  - 1349-7235
SN  - 0918-2918
ER  -

Abstract

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