Korean J Pathol.  2007 Feb;41(1):55-58.

A Case of Gastric Inverted Hyperplastic Polyp Associated with Gastritis Cystica Profunda and Early Gastric Carcinoma

• Choi MS
• Jin SY
• Kim DW
• Lee DW
• Park SM

Abstract

A gastric inverted hyperplastic polyp is characterized by downward growth of the hyperplastic mucosal components into the submucosa. Lesions are composed of hyperplastic foveolar-type glands, and sometimes coexist with gastritis cystica profunda (GCP). Adenocarcinoma frequen- tly can coexist, but the relationship is not clear. A 71-year-old male was admitted to hospital because of dyspepsia for one month. He underwent a wedge resection of the stomach, after endoscopic biopsies. The gross finding showed a slightly elevated papillary lesion with central depression. Microscopically, the elevated lesion was composed of hyperplastic fundic glands and foveolar cells, and the central depressed lesion showed a nodular inverted proliferation of normal appearing gastric epithelium and glands in the submucosa. An additional proximal gastrectomy specimen exhibited marked GCP and a minute adenocarcinoma at the proximal margin with p53 protein overexpression.

Keyword

Stomach; Inverted hyperplastic polyp; Gastritis cystica profunda; Early gastric carcinoma

MeSH Terms

Adenocarcinoma
Aged
Biopsy
Depression
Dyspepsia
Epithelium
Gastrectomy
Gastritis*
Humans
Male
Polyps*
Stomach