1995 Volume 47 Pages 160-161
A 69-year-old man was referred to our hospital for the purpose of endoscopic treatment of the early gastric carcinoma located at EGJ. As it was type IIa well differentiated adenocarcinoma, which was thought to be intramucosal, EMR was performed. The resected specimen was 8mm in diameter.
Early gastric carcinoma in a fundic gland area, espacially near EGJ, is tend to be histopathologically well defferentiated. The more close to EGJ the location is, elevated type is the more frequently found than depressed type. So it is possible that early gastric carcinoma near EGJ is misdiagnosed as adenomatous polyp. In fact, this case was misdiagnosed as benign polyp 2 years before EMR. However significant degrees of atypism was already existed in that biopsy specimens retrospectively. We should pay attention to a gastric polyp at EGJ, because it may be an early carcinoma and if it is, in case of an indication of EMR, EMR should be performed.
