Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2023; 11(7): 1569-1575
Published online Mar 6, 2023. doi: 10.12998/wjcc.v11.i7.1569
Gastric ectopic pancreas combined with synchronous multiple early gastric cancer: A rare case report
Zhen-Ya Zhao, Yue-Xing Lai, Ping Xu
Zhen-Ya Zhao, Yue-Xing Lai, Ping Xu, Department of Gastroenterology, Songjiang Hospital Affiliated to Shanghai Jiaotong University School of Medicine (Preparatory Stage), Shanghai 201600, China
Author contributions: Zhao ZY wrote the paper; Lai YX performed endoscopy and endoscopic submucosal dissection; Xu P revised the article; all authors have read and approved the final manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors have no conflict of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ping Xu, Doctor, PhD, Doctor, Department of Gastroenterology, Songjiang Hospital Affiliated to Shanghai Jiaotong University School of Medicine (Preparatory Stage), No. 746 Zhongshanzhong Road, Songjiang District, Shanghai 201600, China. sjzxxp@yeah.net
Received: October 24, 2022
Peer-review started: October 24, 2022
First decision: January 3, 2023
Revised: January 13, 2023
Accepted: February 15, 2023
Article in press: February 15, 2023
Published online: March 6, 2023
Processing time: 129 Days and 2.6 Hours
Core Tip

Core Tip: This case demonstrates that ectopic pancreas can be found in combination with synchronous multiple early gastric cancer (SMEGC). Careful endoscopic inspection of the mucosal surface is mandatory to avoid overlooking SMEGC. It is important to be mindful of the possible presence of ectopic pancreas, perform an in-depth evaluation and select the correct surgical option for excision or resection. This case also reminds us that in the presence of atrophy, intestinal metaplasia and Helicobacter pylori infection combined with ectopic pancreas, it is necessary to evaluate the stomach very carefully, so as not to miss the diagnosis of early gastric cancer.