Case 1 : As part of a regular examination, a 38-year-old woman underwent an endoscopy. An upper gastrointestinal endoscopy revealed a 5-mm, whitish elevated lesion in the upper gastric body. Endoscopic findings revealed a suspected fundic gland gastric adenocarcinoma, and an endoscopic mucosal resection, with a cap-fitted panendoscope (EMR-C) was performed. Pathological examination confirmed gastric adenocarcinoma of the fundic gland.
Case 2 : For a regular follow-up, an 81-year-old man underwent an endoscopy. Upper gastrointestinal endoscopy showed a 5-mm, reddish elevated lesion in the middle of the gastric body.
A fundic gland gastric adenocarcinoma was suspected and an endoscopic submucosal dissection (ESD) was performed. Pathological examination indicated gastric adenocarcinoma of fundic gland mucosa. In cases of fundic mucosal gastric cancer, malignancy potential is high ; therefore, the need for additional treatment should be determined by careful consideration of the pathological findings.
