Korean J Helicobacter Up Gastrointest Res.  2017 Jun;17(2):94-97. 10.7704/kjhugr.2017.17.2.94.

Oxyntic Gland Adenoma Treated by Endoscopic Mucosal Resection

Affiliations
  • 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. sklee@yuhs.ac
  • 2Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Oxyntic gland polyp/adenoma is a recently reported rare neoplasm previously called gastric adenocarcinoma of fundic gland type (chief cell predominant type). We report a case of oxyntic gland adenoma curatively treated with endoscopic mucosal resection. On endoscopy, a small, round polypoid lesion was observed in the fundus of the stomach of a 33-year-old man. He underwent endoscopic mucosal resection with a cap for diagnostic and therapeutic purposes, and was diagnosed as having oxyntic gland adenoma with high-grade dysplasia. On immunohistochemical analysis, the tumor was positive for MUC6 and negative for MUC5AC and MUC2. Our case suggests that endoscopic mucosal resection with immunohistochemical analysis might be useful for correctly diagnosing an uncertain lesion suspected as an oxyntic gland adenoma.

Keyword

Endoscopic mucosal resection; Oxyntic gland adenoma; Stomach

MeSH Terms

Adenocarcinoma
Adenoma*
Adult
Endoscopy
Humans
Stomach
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