2019 Volume 61 Issue 6 Pages 1226-1230
White globe appearance (WGA) has recently been identified as an endoscopic marker that is useful for diagnosing early gastric carcinoma. However, the clinical efficacy of WGA for diagnosing noncancerous lesions remains unclear. Here, we describe a patient with type A gastritis in whom several WGAs were detected. Several white spots were visually captured on the atrophic mucosa under white light imaging, indicating that WGAs can be observed under magnifying endoscopy with narrow band imaging. The biopsy specimen obtained from a white spot revealed histologically eosinophilic material with necrotic fragments in the dilated gland, demonstrating intra-glandular necrotic debris. This case provides multidisciplinary information for investigating the clinical significance of WGAs in noncancerous lesions.
