GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
DIFFERENTIATED-TYPE GASTRIC CARCINOMA WITH A GASTRIC MUCIN PHENOTYPE ARISING IN A GASTRIC HYPERPLASTIC POLYP PRESENTED MUCH DIFFICULTY IN PREOPERATIVE DIAGNOSIS
Kouji NISHIDAHidesuke MORITAKiyoshi AZAKAMIMasaaki CHINENHajime SUGIHARAKeiko WATANABE
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Keywords: ESD
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2008 Volume 50 Issue 12 Pages 3027-3032

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Abstract

A 55-years-old female had anemia and had MDL, GIF and a biopsy done at a certain clinic. The biopsy specimen of the polyp revealed f oveolate hyperplasia (Group I). The patient had an endoscopic resection since the polyp was causing anemia. The polyp was diagnosed as a gastric hyperplastic polyp (GHP) on the greater curvature of the antrum (l0mm in diameter) based on the endoscopic examination. The polyp was resected by endoscopic submucosal dissection (ESD). The resected specimen was found to be a differentiated type gastric carcinoma with a gastric mucin phenotype. The cancer cells were columnar f oveolar type cell similar to there found in GHPs. A part of the polyp was composed of a GHP without dysplasia. This case suggests that F-type carcinoma can arise from a histologically diagnosed GHP.

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