Gastric Adenocarcinoma of the Fundic Gland Type after Endoscopic Therapy for Metachronous Gastric Cancer

被引:17
作者
Kino, Hitoshi [1 ]
Nakano, Masakazu [1 ]
Kanamori, Akira [1 ]
Suzuki, Tsunehiro [1 ]
Kaneko, Yoshihito [1 ]
Tsuchida, Chieko [1 ]
Tsuchida, Kouhei [1 ]
Tominaga, Keiichi [1 ]
Sasai, Takako [1 ]
Yamagishi, Hidetsugu [2 ]
Imai, Yasuo [2 ]
Hiraishi, Hideyuki [1 ]
机构
[1] Dokkyo Med Univ, Dept Gastroenterol, Mibu, Tochigi, Japan
[2] Dokkyo Med Univ, Dept Diagnot Pathol, Mibu, Tochigi, Japan
关键词
gastric adenocarcinoma of fundic gland type; Helicobacter pylori; endoscopic submucosal dissection; CELL PREDOMINANT TYPE; CATENIN SIGNALING PATHWAY; ADENOMA;
D O I
10.2169/internalmedicine.9359-17
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 78-year-old man underwent endoscopic submucosal dissection (ESD) for early gastric adenocarcinoma twice in 2009 and 2014. Between the procedures, he successfully completed Helicobacter pylori eradication therapy. In May 2015, upper endoscopy screening showed two elevated lesions on the gastric fundus, and en bloc resection by ESD was performed. We histopathologically diagnosed the patient to have gastric adenocarcinoma of the fundic gland type. In this case, the two lesions of gastric adenocarcinoma of the fundic gland type multifocally developed after ESD for metachronous gastric tubular adenocarcinoma. Furthermore, they appeared in the gastric fundus, where atrophy had been improved due to eradication therapy.
引用
收藏
页码:795 / 800
页数:6
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