NHÂN MỘT TRƯỜNG HỢP UNG THƯ DẠ DÀY SỚM: CHẨN ĐOÁN VÀ ĐIỀU TRỊ

Abstract

Introduction: Gastric cancer is the fifth most common malignancy worldwide, and the fourth cause among all malignancy in Vietnam. However, the majority of patients arriving at the hospital are in the late stage. We present the clinical, endoscopic, histopathological and treatment characteristics of 01 patient with early gastric cancer.Case presentation: Female patient, 56 years old. From August 2020, the patient has symptoms: epigastric pain, indigestion, no weight loss. From 09/2020-09/2021, the patient had upper GI endoscopy (06 times) and biopsies (06 times). Endoscopy results: small curvilinear ulcer, size 1 cm, surface is not smooth. Histopathological results: 1/6 biopsies, we found cancer cells (last biopsy: 09/2021). There were 3/6 times (50%) with gastric dysplasia. The patient underwent laparoscopic surgery. Postoperative results: adenocarcinoma, highly differentiated, at the small curvature of the stomach, pT1aM0N0. After surgery, the patient was stable, without complications and was discharged from the hospital. Conclusion: Endoscopy and biopsy play an important role in early detection of gastric cancer.