Numerous lesions of gastric adenocarcinoma of fundic-gland and fundic gland-mucosa type in a patient.
Gastric adenocarcinoma of fundic-gland mucosa type
Gastric adenocarcinoma of fundic-gland type
Magnifying endoscopy with narrow-band imaging
Journal
Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association
ISSN: 1436-3305
Titre abrégé: Gastric Cancer
Pays: Japan
ID NLM: 100886238
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
25
03
2023
accepted:
31
07
2023
medline:
13
11
2023
pubmed:
11
8
2023
entrez:
11
8
2023
Statut:
ppublish
Résumé
A man in his 60 s underwent upper gastrointestinal endoscopy at our hospital, which revealed a 30-mm elevated lesion in the upper stomach (main lesion). There were several discolored, flat mucosal lesions and slightly elevated, reddish, subepithelial mass-like lesions (multiple secondary lesions) in the gastric fornix and body. Histopathological examination of several biopsied secondary lesions revealed gastric adenocarcinoma of fundic-gland type (GA-FG) or gastric adenocarcinoma of fundic gland-mucosa type (GA-FGM). The main lesion was suspected to be GA-FGM on magnifying endoscopy with narrow-band imaging. It was removed using endoscopic submucosal dissection for therapeutic and diagnostic purposes. The histopathological diagnosis of the resected lesion was GA-FGM, which was surrounded by two GA-FGM and > 30 GA-FG lesions. Total gastrectomy was considered; however, the patient declined further surgical treatment. Therefore, he was followed up with biannual endoscopy and computed tomography. At five years postoperatively, no tumor growth or metastasis has been observed.
Identifiants
pubmed: 37566207
doi: 10.1007/s10120-023-01421-1
pii: 10.1007/s10120-023-01421-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1069-1073Informations de copyright
© 2023. The Author(s) under exclusive licence to The International Gastric Cancer Association and The Japanese Gastric Cancer Association.
Références
Ueyama H, Yao T, Nakashima Y, Hirakawa K, Oshiro Y, Hirahashi M, et al. Gastric adenocarcinoma of fundic gland type (chief cell predominant type): proposal for a new entity of gastric adenocarcinoma. Am J Surg Pathol. 2010;34:609–19.
doi: 10.1097/PAS.0b013e3181d94d53
pubmed: 20410811
Iwashita A, Tanabe H. Diagnosis of low-grade gastric differentiated adenocarcinoma [in Japanese]. Stomach and Intestine (Tokyo). 2010;45:1057–60.
Tanabe H, Iwashita A, Ikeda K, Ota A, Yao K. Histopathological characteristics of gastric adenocarcinoma of fundic gland type [in Japanese]. Stomach and Intestine (Tokyo). 2015;50:1469–79.
Ladkin RG, Davies JNP. Rupture of the stomach in an African child. Br Med J. 1948;1:644.
doi: 10.1136/bmj.1.4552.644
pubmed: 18911055
pmcid: 2090274
Tameez Uddin A, Alam F, Tameez-Uddin A, Chaudhary FM. Auto-brewery syndrome: a clinical dilemma. Cureus. 2020;12:e10983.
Yao K, Anagnostopoulos GK, Ragunath K. Magnifying endoscopy for diagnosing and delineating early gastric cancer. Endoscopy. 2009;41:462–7.
doi: 10.1055/s-0029-1214594
pubmed: 19418401
Ueyama H, Matsumoto K, Nagahara A, Hayashi T, Yao T, Watanabe S, et al. Gastric adenocarcinoma of the fundic gland type (chief cell predominant type). Endoscopy. 2014;46:153–7.
pubmed: 24338239
Imamura K, Yao K, Nimura S, Tanabe H, Kanemitsu T, Miyaoka M, et al. Characteristic endoscopic findings of gastric adenocarcinoma of fundic-gland mucosa type. Gastric Cancer. 2021;24:1307–19.
doi: 10.1007/s10120-021-01208-2
pubmed: 34241719
Ueyama H, Yao T, Akazawa Y, Hayashi T, Kurahara K, Oshiro Y, et al. Gastric epithelial neoplasm of fundic-gland mucosa lineage: proposal for a new classification in association with gastric adenocarcinoma of fundic-gland type. J Gastroenterol. 2021;56:814–28.
doi: 10.1007/s00535-021-01813-z
pubmed: 34268625
pmcid: 8370942
Okumura Y, Takamatsu M, Ohashi M, Yamamoto Y, Yamamoto N, Kawachi H, et al. Gastric adenocarcinoma of fundic gland type with aggressive transformation and lymph node metastasis: a case report. J Gastric Cancer. 2018;18:409–16.
doi: 10.5230/jgc.2018.18.e22
pubmed: 30607304
pmcid: 6310764
Chen O, Shao ZY, Qiu X, Zhang GP. Multiple gastric adenocarcinoma of fundic gland type: a case report. World J Clin Cases. 2019;7:2871–8.
doi: 10.12998/wjcc.v7.i18.2871
pubmed: 31616705
pmcid: 6789379