Journal
INTERNAL MEDICINE
Volume 58, Issue 13, Pages 1871-1875Publisher
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.2081-18
Keywords
fundic gland polyp; dysplasia; endoscopic mucosal resection; Helicobacter pylori negative
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A 51-year-old woman had been taking proton pump inhibitor since August 2008. In May, 2016, endoscopic findings showed no atrophy and no intestinal metaplasia in the stomach, and multiple fundic gland polyps were identified in the stomach. A biopsy of a pedunculated polyp measuring 10 millimeters in diameter at the greater curvature of the middle gastric body demonstrated well differentiated tubular adenocarcinoma. In July 2016, we treated this lesion and two other semipedunculated polyps located near the first polyp and also measuring 10 mm in diameter by endoscopic mucosal resection. The final diagnosis of all lesions was a fundic gland polyp with low grade dysplasia and the cutting end was negative.
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