Fig. 1
From: Laterally spreading tumour of the distal stomach: a case report
White light endoscopy showed a gastric laterally spreading tumour of the distal stomach of the granular nodular-mixed type, approximately 6 –cm in size, located at the antrum and pyloric region of the stomach; a 0-IIa + 0-IIC and 0-I lesion (a), along with a polypoid duodenal bulb lesion (b). Chromoendoscopy using indigo showed clear margins of the distal stomach (c) and duodenal bulb lesion (d). Narrow-band imaging revealed an irregular pit pattern of IIIL to IV and increased vascularization in the surrounding mucosa (e). A white opaque substance with oedematous villi is clearly seen in the antrum near the pyloric region (f), and duodenal bulb (g) indicated early gastric cancer. Endoscopic ultrasound showed a thickening of the mucosal layer of approximately 12 mm (h)