Long-term Follow-up of Gastric Adenocarcinoma with Chief Cell Differentiation Using Upper Gastrointestinal Tract Endoscopy

Takashi Abe, Takayuki Nagai, Junji Fukunaga, Hitoshi Okawara, Hiroshi Nakashima, Mitsutaka Syutou, Nobuaki Kajimoto, Ryojin Wake, Tsuneo Oyama, Takashi Yao
2013 Internal medicine (Tokyo. 1992)  
During upper endoscopic screening, a 71-year-old asymptomatic woman was found to have a small, yellowish, superficial elevated lesion in the upper third of her stomach, without any signs of atrophic mucosa. The patient underwent endoscopic follow-up once a year for approximately five years; however, changes in the tumor were barely detectable. Endoscopic mucosal resection was performed, and a histological examination confirmed the diagnosis of gastric adenocarcinoma with chief cell
more » ... on (GA-CCD). GA-CCD is rare; therefore, its clinicopathological features remain unknown. This case suggests that only barely detectable endoscopic changes may be observed in GA-CCD during long-term follow-up.
doi:10.2169/internalmedicine.52.0361 pmid:23857090 fatcat:mzquudh6dbe5xixlrar2ofqdwi