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首页> 外文期刊>Acta gastro-enterologica Belgica >Gastric adenocarcinoma of fundic gland type (Chief cell predominant type) with unique endoscopic appearance curatively treated by endoscopic submucosal resection
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Gastric adenocarcinoma of fundic gland type (Chief cell predominant type) with unique endoscopic appearance curatively treated by endoscopic submucosal resection

机译：内镜下黏膜下切除术治疗独特内镜下出现的胃腺型胃癌（主要细胞类型）

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摘要

Gastric adenocarcinoma of fundic gland type [chief cell predominant type; (GA-FD-CCP)] is a rare gastric cancer variant arising from non-atrophic mucosa without Helicobacter pylori infection in the upper third portion of the stomach. GA-FD-CCP originates deep in the mucosal layer; hence, endoscopic lesion detection is often difficult at an early stage because of a minimal change in the mucosal surface. Here we present a 66-year-old man with an early stage of GA-FD-CCP showing characteristic endoscopic features. Esophagogastroduodenoscopy demonstrated a flat, slightly reddish area with black pigment dispersion and irregular micro-surface structure at the gastric fornix. The tumor was resected by endoscopic submucosal dissection and was pathologically diagnosed as GA-FD-CCP. Prussian blue staining revealed that the black pigment was a hemosiderin deposition. We reported a rare case of successfully treated GA-FD-CCP with black pigmentation that aided in early lesion detection.
机译：胃腺型胃腺癌[主要细胞类型为小细胞; （GA-FD-CCP）]是一种罕见的胃癌变体，由非萎缩性粘膜引起，在胃的上部三分之一没有幽门螺杆菌感染。 GA-FD-CCP起源于粘膜层深处。因此，由于粘膜表面的微小变化，内窥镜病变的早期检测通常很困难。在这里，我们介绍了一位66岁的男性，其GA-FD-CCP早期表现出内窥镜特征。食管胃十二指肠镜检查显示平坦，略带红色的区域，黑色颜料分散，胃穹at处的微表面结构不规则。通过内镜下粘膜下剥离术切除肿瘤，并在病理上诊断为GA-FD-CCP。普鲁士蓝染色显示黑色素是铁血黄素沉着。我们报道了罕见的成功案例，该案例成功地治疗了带有黑色素的GA-FD-CCP，有助于早期发现病变。

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