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

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 fun...

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Detalles Bibliográficos
Autores principales: Kino, Hitoshi, Nakano, Masakazu, Kanamori, Akira, Suzuki, Tsunehiro, Kaneko, Yoshihito, Tsuchida, Chieko, Tsuchida, Kouhei, Tominaga, Keiichi, Sasai, Takako, Yamagishi, Hidetsugu, Imai, Yasuo, Hiraishi, Hideyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891516/
https://www.ncbi.nlm.nih.gov/pubmed/29225256
http://dx.doi.org/10.2169/internalmedicine.9359-17
Descripción
Sumario: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.

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