Suhmucosal Heterotopia of the Stomach Composed of Fundic Glands, Report of a Case Ryushi Sasa 1 , Tohru Iwase 1 , Tohru Inagaki 1 , Hisafumi Yamamoto 1 , Isamu Kino 2 1The Institute for Adult Diseases, Asahi Life Foundation 2Department of Pathology, Hamamatsu University, School of Medicine pp.77-80
Published Date 1985/1/25
DOI https://doi.org/10.11477/mf.1403109667
  • Abstract
  • Look Inside
  • Cited by

 A 71 year-old man underwent a medical check-up. Upper gastrointestinal x-ray series demonstrated a filling defect at the greater curvature of the body of the stomach. Endoscopic study revealed an elevated lesion with bridging folds. The tip of the lesion was ulcerated. Gastric biopsy was proved to be nonmalignant.

 However, partial gastrectomy was performed, because there seemed a probable chance that the lesion might cuntain a submucosal malignant tumor.

 Gross finding of the resected specimen showed an elevated hemispherical lesion. 1.5×1.3 cm in size. The lesion was mainly located in the submucosal region of the stomach, well-defined and separated from the surrounding normal tissue. The tip of the lesion was slightly depressed, and erosive.

 Histologically, it was proved that the fundic glands and crypt epithelium increased locally in the submucosal layer keeping its organoid pattern. This is a lesion infrequently seen although a few literature concerning resembled lesion was noted.

Copyright © 1985, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院