Download PDF
Endoscopy 2001; 33(2): 197
DOI: 10.1055/s-2001-11923
Images in Focus

© Georg Thieme Verlag Stuttgart · New York

Endosonographic Features of Advanced Gastric Carcinoma Invading the Colon: Is it Easy to Differentiate from Pancreatic Invasion?

E. A. Sabet, T. Okai, T. Minamoto, N. Sawabu
  • Dept. of Internal Medicine and Medical Oncology, Cancer Research Institute, Kanazawa University, Kanazawa, Japan
Further Information

T. Okai,M.D. 

Dept. of Internal Medicine and Medical Oncology
Cancer Research Institute

Kanazawa University
4-86 Yoneizumi
Kanazawa 921-8044
Japan

Fax: Fax:+81-76-226-2539

Email: E-mail:okai@kenroku.kanazawa-u.ac.jp

Publication History

Publication Date:
31 December 2001 (online)

Also available at
 PDF Download Permissions and Reprints
Table of Contents
    Zoom Image

    Endoscopic ultrasonographic (EUS) image of a T4 gastric carcinoma on the posterior wall of the angulus taken using a GF-UM200 (7.5 MHz) echoendoscope (Olympus, Tokyo, Japan). The linear hypoechoic area along the outer tumor margin (arrow) was first interpreted as the main pancreatic duct of an invaded pancreatic body, but surprisingly, the actual pancreas was demonstrated soon afterwards in its normal position.

    Zoom Image

    Histopathological examination proved that the linear hypoechoic area was consistent with the muscularis propria of the colon (arrow) (hematoxylin and eosin, original magnification × 5). Another patient recently presenting with the same EUS features was diagnosed correctly.

    T. Okai,M.D. 

    Dept. of Internal Medicine and Medical Oncology
    Cancer Research Institute

    Kanazawa University
    4-86 Yoneizumi
    Kanazawa 921-8044
    Japan

    Fax: Fax:+81-76-226-2539

    Email: E-mail:okai@kenroku.kanazawa-u.ac.jp

    T. Okai,M.D. 

    Dept. of Internal Medicine and Medical Oncology
    Cancer Research Institute

    Kanazawa University
    4-86 Yoneizumi
    Kanazawa 921-8044
    Japan

    Fax: Fax:+81-76-226-2539

    Email: E-mail:okai@kenroku.kanazawa-u.ac.jp

       Permissions and Reprints
    Zoom Image

    Endoscopic ultrasonographic (EUS) image of a T4 gastric carcinoma on the posterior wall of the angulus taken using a GF-UM200 (7.5 MHz) echoendoscope (Olympus, Tokyo, Japan). The linear hypoechoic area along the outer tumor margin (arrow) was first interpreted as the main pancreatic duct of an invaded pancreatic body, but surprisingly, the actual pancreas was demonstrated soon afterwards in its normal position.

    Zoom Image

    Histopathological examination proved that the linear hypoechoic area was consistent with the muscularis propria of the colon (arrow) (hematoxylin and eosin, original magnification × 5). Another patient recently presenting with the same EUS features was diagnosed correctly.