Gastric Gland Type Adenoma Associated with Hypoproteinemia, Report of a Case Toru Kusaba 1 , Hiroshi Ikezono 1 , Atsushi Toyonaga 1 , Kyuichi Tanikawa 1 , Minoru Morimatsu 3 1The Second Department of Internal Medicine, Kurume University, School of. Medicine 2The Second Department of Pathology, Kurume University, School of Medicine pp.333-337
Published Date 1986/3/25
DOI https://doi.org/10.11477/mf.1403110181
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 A 60 year-old woman was admitted to our hospital because of hematemesis and general malaise. On admission she had anemia with hypoproteinemia and hypoalbuminemia (Table 1).

 By x-ray and endoscopic examlnations of the stomach, multiple polyps were detected around the angulus and tear-ropping mucus from those polyps was observed (Fig.1~4). At this time biopsy specimens taken from those polyps were suspected to be the hyperplastic polyp of the stomach.

 Partial gastrectomy was performed because of continuous hemorrhage from the polyps. Resected specimen showed multiple polyps with varying form and size along the intermediate zone of the stomach (Fig.5). Histologically those polyps showed strong proliferative activity and poor interstitium, and constituent glandular cell was similar to foveolar epithelium or pyloric glandular cell. Those findings confirmed our suspicion that the polyps were gastric gland type adenomas (Fig.6~8).

 After surgical operation the hypoproteinemia was improved, Consequently it is considered that the gastric polyps caused the hypoproteinemia.

 The gastric gland type adenoma, having multiplicity and unique form, reported by Kino is very rare and includes adenocarcinoma in high frequency. However, there was no malignancy in this case in spite of serial cutting of the specimen.

Copyright © 1986, Igaku-Shoin Ltd. All rights reserved.


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