[Laparoscopic Gastrectomy for Gastric Adenocarcinoma of the Fundic Gland Type - Report of a Case].

Abstract

A 69-year-old man underwent esophagogastroduodenoscopy, which showed a slightly depressed lesion at the greater curvature of the gastric body. We diagnosed gastric adenocarcinoma of the fundic gland type(GA-FG)from examination of the biopsy specimen. Endoscopic submucosal dissection(ESD)was performed for curative resection. The pathological examination revealed a positive vertical margin. Consequently, laparoscopic gastrectomy was additionally performed. GA-FG has recently been proposed as a new entity of gastric adenocarcinoma. GA-FG mostly develops without Helicobacter pylori infection and often invades the submucosa, regardless of size. However, GA-FG rarely demonstrates lymphatic and venous invasion despite deep submucosal invasion. Since most GA-FG cases undergo ESD, few reports of surgical resection exist. Here, we report our experience of laparoscopic gastrectomy for GA-FG.

• Authors: Kenichiro Yoshitake, Yuji Kumashiro, Takaaki Watanabe, Mio Adachi, Satoshi Matsui, Kou Kurimori, Naoya Ikeda, Hiroshi Nakamura, Yawara Omoto, Yuki Fujita, Tetsuro Nishikage, Shuji Kato, Masaaki Kanenobu, Masahiro Tsubaki, Shoichi Kato
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 43 Issue 12 Pg. 1875-1877 (Nov 2016) ISSN: 0385-0684 [Print] Japan
• PMID: 28133161 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Adenocarcinoma (surgery)
• Aged
• Biopsy
• Gastrectomy
• Humans
• Laparoscopy
• Male
• Stomach Neoplasms (pathology, surgery)
• Treatment Outcome