Gastric adenocarcinoma of the fundic gland: A review of clinicopathological characteristics, treatment and prognosis

被引:11
作者
Meng, Xiang-yu [2 ]
Yang, Guang [1 ,3 ]
Dong, Cheng-ji [4 ]
Zheng, Ru-yi [5 ]
机构
[1] Okayama Univ, Dept Pathol Dent & Pharmaceut Sci, Grad Sch Med, Okayama, Japan
[2] Mudanjiang Med Univ, Dept Biochem & Mol Biol, Mudanjiang, Peoples R China
[3] Mudanjiang Med Univ, Dept Pathol, Mudanjiang, Peoples R China
[4] First Hosp Jilin Univ, Dept Hepatobiliary & Pancreas Surg, Changchun, Peoples R China
[5] Mine Hosp Xu Zhou, Med Imaging Ctr, Xuzhou, Jiangsu, Peoples R China
关键词
Gastric adenocarcinoma of the fundic gland; chief cells; histopathology; treatment; prognosis; CATENIN SIGNALING PATHWAY; CELL PREDOMINANT TYPE; HELICOBACTER-PYLORI; NEOPLASIA; MUTATION; FEATURES; PROPOSAL;
D O I
10.1177/20363613211060171
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Gastric adenocarcinoma of the fundic gland is a rare, well-differentiated gastric cancer entity, and very few patients transition to poorly differentiated tubular adenocarcinoma during progression. Gastric adenocarcinoma of the fundic gland originates from the mucosa of the gastric fundic gland, usually without chronic gastritis or intestinal metaplasia. Histologically, the tumor cells are closely arranged to form anastomosing tubular glands, and more than 95% of tumor cells differentiate towards chief cells. Most gastric adenocarcinoma of the fundic gland cases are characterized by submucosal involvement, but the tumor volume is usually small, with lymphatic and vascular invasion rarely observed. Therefore, endoscopic submucosal dissection can be an ideal treatment, leading to a favorable prognosis, and recurrence and metastasis of the disease are uncommon.
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页数:7
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