Seyed Reza Fatemi¹, Behzad Hatami¹, Naghmeh Salarieh¹*, Azam Farahani¹, Seyed Ali Fatemi², Shahram Ebadi¹ and Pardis Ketabi Moghadam¹

¹Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
²Life Science, Biology, Student, University of Toronto, Canada

*Corresponding Author: Naghmeh Salarieh, Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Received: August 05, 2021; Published: August 16, 2021

Citation: Naghmeh Salarieh., et al. “Gastric Cancer, Linitis Plastica. EUS FNA Core Biopsy Technique as a Fast and Valuable Diagnostic Method Comparable to FNB". Acta Scientific Gastrointestinal Disorders 4.9 (2021): 26-28.

Abstract

A fifty-year-old man was referred with progressive abdominal pain accompanying with anorexia and weight loss. Upper endoscopy was considered as a helpful procedure for the patient.

Upper endoscopy revealed increased mucosal fold thickness due to decreased expansion in body and fundus with multiple erosions, in favor of mural infiltration compatible with diffuse type of gastric cancer, multiple standard biopsies were taken but pathology was reported negative. Abdominal CT-SCAN was done and it was highly suspicious of malignancy, so bite on bite biopsies were performed again. Pathology report was negative for the second time. Eventually, EUS-FNA was done, full thickness of all layers of stomach with multiple lymph nodes were noticed in EUS. With 22 G needle, FNA with slow-pull and multiple pass technique was performed to obtain many and sufficient core samples for cellblock cytology was taken. Pathology report was adenocarcinoma with signet ring cells.as a result, EUS-FNA was an accurate procedure for diagnosing gastric cancer.

Keyword: EUS FNA; EUS FNB; Linitis Plastica; Gastric Cancer

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Copyright: © Naghmeh Salarieh., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.